Active NPI
Newburgh Podiatry PLLC
- Podiatrist
- Newburgh, NY
National Provider Identifier
1104154897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 006174
- Legal business name
- NEWBURGH PODIATRY PLLC
- Practice address
- 450 Gidney Ave
Suite 3
Newburgh, NY 12550-3116 - Phone
- (845) 565-3331
- Fax
- (845) 565-3351
- NPI assigned
- Nov 18, 2009
- 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
- Dr. Afsana Qader, D.P.M
- Title
- Owner
- Phone
- (914) 582-8018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 006174 | NY | Primary |
Addresses
Primary practice location
450 Gidney Ave
Suite 3
Newburgh, NY 12550-3116
Mailing address
450 Gidney Ave
Suite 3
Newburgh, NY 12550-3116
Phone (845) 565-3331
National Provider Directory
National Provider DirectoryLocations
450 Gidney Ave
Ste 3
Newburgh, NY 12550
Phone (845) 565-3331
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
- Newburgh, NY
- NPI 1831278373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287705600000",
"number": "1104154897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 GIDNEY AVE",
"address_2": "SUITE 3",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503116",
"telephone_number": "845-565-3331",
"fax_number": "845-565-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 GIDNEY AVE",
"address_2": "SUITE 3",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503116",
"telephone_number": "845-565-3331",
"fax_number": "845-565-3351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWBURGH PODIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-18",
"last_updated": "2010-10-22",
"status": "A",
"authorized_official_last_name": "QADER",
"authorized_official_first_name": "AFSANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-582-8018",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NY",
"license": "006174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.