Active NPI
Roger Adam Hans, DPM
- Foot & Ankle Surgery Podiatrist
- Astoria, NY
National Provider Identifier
1083698963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N004560
- Practice address
- 3116 30TH Ave
Suite#203
Astoria, NY 11102-1545 - Phone
- (718) 545-3338
- Fax
- (718) 626-3034
- NPI assigned
- Dec 3, 2005
- Last updated
- Jan 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N004560 | NY | Primary |
Addresses
Primary practice location
3116 30TH Ave
Suite#203
Astoria, NY 11102-1545
Mailing address
3116 30TH Ave
Suite#203
Astoria, NY 11102-1545
Phone (718) 545-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004560 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherrywood Foot Care Group PC | Foot & Ankle Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Grand Central Podiatry
- Foot & Ankle Surgery Podiatrist
- New York, NY
- NPI 1265670640
-
- Foot Surgery Podiatrist
- Astoria, NY
- NPI 1447349055
-
dba Sunnyside Family Foot Care
- Foot & Ankle Surgery Podiatrist
- Sunnyside, NY
- NPI 1518111459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1083698963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 30TH AVE",
"address_2": "SUITE#203",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021545",
"telephone_number": "718-545-3338",
"fax_number": "718-626-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3116 30TH AVE",
"address_2": "SUITE#203",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021545",
"telephone_number": "718-545-3338",
"fax_number": "718-626-3034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANS",
"first_name": "ROGER",
"middle_name": "ADAM",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-03",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N004560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.