Advanced Podiatric Footcare

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

ADVANCED PODIATRIC FOOTCARE

Practice address

21884 Hempstead Ave
Queens Village, NY 11429-2166

Phone

(718) 736-6162

Fax

(718) 468-2047

NPI assigned

Apr 14, 2010

Last updated

Nov 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nelly Ducrepin, D.P.M.NPI 1003074055

Title

Physician

Phone

(917) 685-6441

Specialties & licenses 1

Addresses

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.

• Nelly Ducrepin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hempstead, NY
  • NPI 1003074055
  Authorized official Same address or phone
• Renan E Beauchard, PA

  • Physician Assistant
  • Nanuet, NY
  • NPI 1528385135
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1114243201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218-84 HEMPSTEAD AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292166",
            "telephone_number": "718-736-6162",
            "fax_number": "718-468-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21884 HEMPSTEAD AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292166",
            "telephone_number": "718-736-6162",
            "fax_number": "718-468-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PODIATRIC FOOTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "DUCREPIN",
        "authorized_official_first_name": "NELLY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-685-6441",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adebukola Adebayo, M.D.
• Adewale Adebo, LPN
• Chioma Adelakum
• Adeles Helping Hands LLC
• Amantaadonis Adonis, LPN
• Advanced Senior Care, Inc.
• Aestheticaredental
• Utonne Affia, RN
• Agape Vision Inc (Agape Vision II)
• Irene Agbato

• Podiatric Clinic/Center in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Podiatric Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.