Active NPI
Elizabeth Pincus, DPM
- Podiatrist
- Peekskill, NY
National Provider Identifier
1154365682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004015
- Practice address
- 1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913 - Phone
- (845) 831-0400
- Fax
- (845) 831-0793
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004015 | NY | Primary |
Addresses
Primary practice location
1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913
Mailing address
1037 Main St
Attn: Credentialing
Peekskill, NY 10566-2913
Phone (914) 734-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00909453 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004015 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1154365682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"address_2": "ATTN: CREDENTIALING",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662913",
"telephone_number": "914-734-8800",
"fax_number": "914-734-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"address_2": "HUDSON RIVER HEALTHCARE, INC.",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662913",
"telephone_number": "845-831-0400",
"fax_number": "845-831-0793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCUS",
"first_name": "ELIZABETH",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00909453",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.