Organization Active NPI

Elite Podiatry P.C.

  • Foot & Ankle Surgery Podiatrist
  • Huntington, NY
National Provider Identifier
1073848743
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
60006253 Issued in NY
Legal business name
ELITE PODIATRY P.C.
Practice address
158 E Main St
Suite 2
Huntington, NY 11743-2988
Phone
(631) 271-2491
Fax
(631) 271-2608
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stacey K. Baptiste, D.P.M.NPI 1356518633
Title
Podiatrist
Phone
(631) 271-2491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 60006253 NY Primary

Addresses

Primary practice location

158 E Main St
Suite 2
Huntington, NY 11743-2988

Mailing address

158 E Main St
Suite 2
Huntington, NY 11743-2988
Phone (631) 271-2491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100719000849 NY Part B Supplier - Clinic/Group Practice 5799817276 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1073848743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-271-2491",
            "fax_number": "631-271-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-271-2491",
            "fax_number": "631-271-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "BAPTISTE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "631-271-2491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "60006253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.