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

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.

Title

Physician

Phone

(917) 685-6441

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": []
}

• Merle E Adams, M.A., CCC-SLP
• Adebukola Adebayo, M.D.
• Adewale Adebo, LPN
• Chioma Adelakum
• Amantaadonis Adonis, LPN
• Advanced Senior Care, Inc.
• Aestheticaredental
• Utonne Affia, RN
• Agape Vision Inc
• Irene Agbato

• All providers in Queens Village, NY
• 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.