NPIMap

Organization Active NPI

Newburgh Podiatry PLLC

  • Podiatrist
  • Newburgh, NY
National Provider Identifier
1104154897
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006174 Issued in NY
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
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Dr. Afsana Qader, D.P.MNPI 1497808638
Title
Owner
Phone
(914) 582-8018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

450 Gidney Ave
Ste 3
Newburgh, NY 12550
Phone (845) 565-3331

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.