Active NPI
Oceanside Podiatry
- Foot & Ankle Surgery Podiatrist
- Oceanside, NY
National Provider Identifier
1104913706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- OCEANSIDE PODIATRY
- Practice address
- 2965 Long Beach Rd
Oceanside, NY 11572-3204 - Phone
- (516) 766-8500
- Fax
- (516) 766-8526
- NPI assigned
- Oct 6, 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
- Mrs. Josette Zappa
- Title
- Office Manager
- Phone
- (516) 766-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NY | Primary |
Addresses
Primary practice location
2965 Long Beach Rd
Oceanside, NY 11572-3204
Mailing address
2965 Long Beach Rd
Oceanside, NY 11572-3204
Phone (516) 766-8500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01674799 | Medicaid | NY | |
| 01172747 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1040 Hempstead Tpke
Ste 11
Franklin Square, NY 11010
Phone (516) 352-1136
3105 Lawson Blvd
Oceanside, NY 11572
Phone (516) 766-8500
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- East Norwich, NY
- NPI 1962423723
-
- Podiatrist
- Oceanside, NY
- NPI 1528093515
-
- Chiropractor
- Oceanside, NY
- NPI 1205052602
-
- Podiatrist
- Locust Valley, NY
- NPI 1326055765
-
- Foot & Ankle Surgery Podiatrist
- Astoria, NY
- NPI 1518490234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719792000000",
"number": "1104913706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 LONG BEACH RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115723204",
"telephone_number": "516-766-8500",
"fax_number": "516-766-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2965 LONG BEACH RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115723204",
"telephone_number": "516-766-8500",
"fax_number": "516-766-8526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEANSIDE PODIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A",
"authorized_official_last_name": "ZAPPA",
"authorized_official_first_name": "JOSETTE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "516-766-8500",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01674799",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01172747",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.