Organization Active NPI

Preferred Family Footcare of Li PLLC

  • Podiatrist
  • Roslyn, NY
National Provider Identifier
1083974653
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PREFERRED FAMILY FOOTCARE OF LI PLLC
Practice address
38 Wren Dr
Roslyn, NY 11576-2722
Phone
(516) 621-4395
Fax
(718) 544-7132
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Mrs. Vanessa Melgar
Title
Office Manager
Phone
(718) 544-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

38 Wren Dr
Roslyn, NY 11576-2722

Mailing address

38 Wren Dr
Roslyn, NY 11576-2722
Phone (516) 621-4395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131205001653 NY Part B Supplier - Clinic/Group Practice 5890922439 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY; Yonkers, NY; West Babylon, NY; Staten Island, NY; Smithtown, NY; Roslyn, NY; Plainview, NY; New Rochelle, NY…

National Provider Directory

National Provider Directory

Locations

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

53 Franklin Ave
Lynbrook, NY 11563
Phone (516) 596-2377

Practitioners & affiliated clinicians

Practitioners 4

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": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1083974653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WREN DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762722",
            "telephone_number": "516-621-4395",
            "fax_number": "718-544-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 WREN DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762722",
            "telephone_number": "516-621-4395",
            "fax_number": "718-544-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FAMILY FOOTCARE OF LI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MELGAR",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-544-7575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.