Active NPI
Robert J. Gottlieb, DPM, PC
- Foot Surgery Podiatrist
- Oyster Bay, NY
National Provider Identifier
1104072404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N002806
- Legal business name
- ROBERT J. GOTTLIEB, DPM, PC
- Practice address
- 188 W Main St
Oyster Bay, NY 11771-2267 - Phone
- (516) 922-0502
- Fax
- (516) 922-0289
- NPI assigned
- Aug 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jan M Budnick
- Title
- Office Manager
- Phone
- (516) 404-1332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N002806 | NY | Primary |
Addresses
Primary practice location
188 W Main St
Oyster Bay, NY 11771-2267
Mailing address
188 W Main St
Oyster Bay, NY 11771-2267
Phone (516) 404-1332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930031090 | NY | DME Supplier - Physician - Podiatry | 2365537891 | Practice locations: Oyster Bay, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Foot Care Associates of
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Podiatric Medicine Podiatrist
- Babylon, NY
- NPI 1790013597
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Oyster Bay, NY
- NPI 1922002716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1104072404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 W MAIN ST",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712267",
"telephone_number": "516-404-1332",
"fax_number": "516-922-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 W MAIN ST",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712267",
"telephone_number": "516-922-0502",
"fax_number": "516-922-0289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J. GOTTLIEB, DPM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-18",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "BUDNICK",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "516-404-1332",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N002806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oyster Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.