Individual provider Active NPI

Steven Gene Welsher, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Long Beach, NY
National Provider Identifier
1154311439
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N003302 Issued in NY
Practice address
100 W Park Ave
Suite 305
Long Beach, NY 11561-3302
Phone
(516) 897-0706
Fax
(516) 897-0706
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N003302 NY Primary

Addresses

Primary practice location

100 W Park Ave
Suite 305
Long Beach, NY 11561-3302

Mailing address

100 W Park Ave
Suite 305
Long Beach, NY 11561-3302
Phone (516) 897-0706

Other identifiers 1

IdentifierTypeStateIssuer
00686764MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1154311439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W PARK AVE",
            "address_2": "SUITE 305",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613302",
            "telephone_number": "516-897-0706",
            "fax_number": "516-897-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W PARK AVE",
            "address_2": "SUITE 305",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613302",
            "telephone_number": "516-897-0706",
            "fax_number": "516-897-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSHER",
        "first_name": "STEVEN",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N003302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00686764",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.