Organization Active NPI

Marine Park Podiatry, PC

  • Durable Medical Equipment & Medical Supplies
  • Rockaway Point, NY
National Provider Identifier
1144408972
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N004621 Issued in NY
Legal business name
MARINE PARK PODIATRY, PC
Practice address
204-08 Rockaway Point Blvd
Rockaway Point, NY 11697-1115
Phone
(718) 318-5531
Fax
(718) 318-0157
NPI assigned
Feb 4, 2008
Last updated
Oct 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. Elizabeth S. MurphyNPI 1225009772
Title
Pres./Owner
Phone
(718) 318-5531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N004621 NY Primary

Addresses

Primary practice location

204-08 Rockaway Point Blvd
Rockaway Point, NY 11697-1115

Mailing address

204-08 Rockaway Point Blvd
Rockaway Point, NY 11697-1115
Phone (718) 318-5531

National Provider Directory

National Provider Directory

Locations

20408 Rockaway Point Blvd
Rockaway Point, NY 11697
Phone (646) 421-6064

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1144408972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204-08 ROCKAWAY POINT BLVD",
            "city": "ROCKAWAY POINT",
            "state": "NY",
            "postal_code": "116971115",
            "telephone_number": "718-318-5531",
            "fax_number": "718-318-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204-08 ROCKAWAY POINT BLVD",
            "city": "ROCKAWAY POINT",
            "state": "NY",
            "postal_code": "116971115",
            "telephone_number": "718-318-5531",
            "fax_number": "718-318-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINE PARK PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRES./OWNER",
        "authorized_official_telephone_number": "718-318-5531",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N004621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.