Organization Active NPI

General Podiatric Care LLC

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1124102520
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GENERAL PODIATRIC CARE LLC
Practice address
10 Putters CT
Staten Island, NY 10301-3364
Phone
(718) 720-8372
Fax
(718) 720-1304
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Ewa D'Silva, DPMNPI 1730105255
Title
President
Phone
(718) 934-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

10 Putters CT
Staten Island, NY 10301-3364

Mailing address

10 Putters CT
Staten Island, NY 10301-3364
Phone (718) 934-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090317000190 NJ Part B Supplier - Clinic/Group Practice 6406913508 Receives reassigned benefits from 1 practitioner
Practice locations: Manalapan, NJ
O20100930022120 NY DME Supplier - Physician - Podiatry 6406913508 Practice locations: Staten Island, NY
O20101022001214 NY Part B Supplier - Clinic/Group Practice 6406913508 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1124102520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PUTTERS CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013364",
            "telephone_number": "718-934-7500",
            "fax_number": "718-504-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PUTTERS CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013364",
            "telephone_number": "718-720-8372",
            "fax_number": "718-720-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL PODIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "D'SILVA",
        "authorized_official_first_name": "EWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-934-7500",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.

Verify at the official NPI Registry.