Marjorie C. Ravitz DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N4126 Issued in NY

Legal business name

MARJORIE C. RAVITZ DPM PC

Practice address

260 Middle Country Rd
Suite 104
Smithtown, NY 11787-2982

Phone

(631) 724-1166

Fax

(631) 724-4130

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Marjorie C Ravitz, DPMNPI 1255421442

Title

Owner

Phone

(631) 724-1166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Marjorie Ravitz, DPM

  • Podiatrist
  • Smithtown, NY
  • NPI 1255421442
  Medicare reassignment Care Compare group NPD Authorized official
• Lisa Larocca-Hulsen, D.P.M.

  • Podiatrist
  • Smithtown, NY
  • NPI 1740373802
  Medicare reassignment Care Compare group NPD
• Lisa Schirripa, DPM

  • Podiatrist
  • Smithtown, NY
  • NPI 1619067899
  Medicare reassignment Care Compare group NPD
• Anthony Vincent Zizzamia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Smithtown, NY
  • NPI 1801237425
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1093973778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY RD",
            "address_2": "SUITE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-724-1166",
            "fax_number": "631-724-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY RD",
            "address_2": "SUITE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-724-1166",
            "fax_number": "631-724-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE C. RAVITZ DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "RAVITZ",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-724-1166",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N4126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar L. Marin, M.D.
• Morisa J Marin, M.D.
• Marina I Peredo MD PC
• Sarah Marine, FNP-C
• Luiziana Manuela Marinescu, M.D.
• Mark J. Zuckerman, Physician, P.C.
• Mark Jan Sterling MD PC
• Mark Tan, M.D., P.C.
• Marotta Facial Plastic Surgery, PC
• Andrew Marotta, RN

• Podiatrist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.