Plaza Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N005620 Issued in NY

Legal business name

PLAZA PODIATRY PLLC

Practice address

325 Middle Country Rd
Suite 4
Selden, NY 11784-2545

Phone

(631) 320-1990

Fax

(631) 320-1988

NPI assigned

Aug 13, 2013

Organization subpart

Yes

Parent organization

WENDY BARABANAs reported in NPPES

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

Authorized official

Name

Wendy A Baraban, DPM

Title

Owner

Phone

(631) 320-1990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Maryann D'Amara, DPM

  • Podiatrist
  • Selden, NY
  • NPI 1790852671
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1114350212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MIDDLE COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842545",
            "telephone_number": "631-320-1990",
            "fax_number": "631-320-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MIDDLE COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842545",
            "telephone_number": "631-320-1990",
            "fax_number": "631-320-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PODIATRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WENDY BARABAN",
        "enumeration_date": "2013-08-13",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "BARABAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-320-1990",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Touch Rehabilitation PT, PLLC
• Olivia Michelle Petero-Haas, RN
• Michael Howard Peters, PH.D
• Kacey Peterson
• Lisa Lynn Pinka, L.M.T.
• PM Pediatrics of Selden
• Seth Polan
• Mark S Pollner, M.D.
• Haydee Pondar, OTR/L
• Progressive Orthotics LTD

• Foot & Ankle Surgery Podiatrist in Selden, NY
• Providers in Selden, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.