Kagan Podiatry P.C.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

KAGAN PODIATRY P.C.

Practice address

61 Elton Rd
Stewart Manor, NY 11530-3808

Phone

(516) 712-6262

NPI assigned

Oct 19, 2022

Last updated

Oct 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey G Kagan, DPMNPI 1790247377

Title

Owner

Phone

(516) 712-6262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Jeffrey Gregory Kagan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Franklin Square, NY
  • NPI 1790247377
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1144946385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ELTON RD",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115303808",
            "telephone_number": "516-712-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ELTON RD",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115303808",
            "telephone_number": "516-712-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAGAN PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-712-6262",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omana George, L.P.N
• Krzysztof Gozdziak, RPH
• Karen M Green, PSYD
• Denise Grueneberg, R.N.
• Janice Hong, RPH
• Robert C Lennihan, LMSW
• Amanda Louise Leone, LMHC
• Patricia Lynch, LMSW
• Patricia McLoughlin, MSED
• Patricia Meenan Lapierre, CCC-SLP

• Podiatric Clinic/Center in Stewart Manor, NY
• Providers in Stewart Manor, NY by specialty
• Podiatric Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.