Active NPI
General Podiatric Care LLC
- Podiatrist
- Staten Island, NY
National Provider Identifier
1124102520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ewa D'Silva, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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, NY
Enrollment records 3
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 DirectoryPractitioners & 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.