Active NPI
Foot and Ankle Orthopaedic Surgery, PC
- Orthopaedic Foot and Ankle Surgery Physician
- New York, NY
National Provider Identifier
1104902972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- Legal business name
- FOOT AND ANKLE ORTHOPAEDIC SURGERY, PC
- Practice address
- 523 E 72ND St
Room 509
New York, NY 10021-4099 - Phone
- (212) 606-1579
- NPI assigned
- Oct 27, 2006
- 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
- Martin J O'Malley, M.D.
- Title
- Manager
- Phone
- (212) 606-1579
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | NY | Primary |
Addresses
Primary practice location
523 E 72ND St
Room 509
New York, NY 10021-4099
Mailing address
523 E 72ND St
Room 509
New York, NY 10021-4099
Phone (212) 606-1579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
420 E 72nd St
Ste 1B
New York, NY 10021
Phone (212) 203-0740
523 E 72nd St
Rm 509
New York, NY 10021
Phone (212) 606-1579
785 Mamaroneck Ave
#8
White Plains, NY 10605
Phone (914) 597-2332
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- New York, NY
- NPI 1396056768
-
- Surgical Physician Assistant
- New York, NY
- NPI 1306367628
-
- Orthopaedic Trauma Physician
- New York, NY
- NPI 1649356486
Foot and Ankle Surgery
-
- General Practice Registered Nurse
- New York, NY
- NPI 1821284993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104902972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 E 72ND ST",
"address_2": "ROOM 509",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214099",
"telephone_number": "212-606-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 E 72ND ST",
"address_2": "ROOM 509",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214099",
"telephone_number": "212-606-1579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE ORTHOPAEDIC SURGERY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "O'MALLEY",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "212-606-1579",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.