Individual provider Active NPI

June G Kasminoff, DPM

  • Primary Podiatric Medicine Podiatrist
  • Old Bethpage, NY
National Provider Identifier
1154414530
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N004947 Issued in NY
Practice address
666 Old Bethpage Rd
Old Bethpage, NY 11804-1219
Phone
(516) 586-4055
NPI assigned
Sep 30, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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 N004947 NY Primary

Addresses

Primary practice location

666 Old Bethpage Rd
Old Bethpage, NY 11804-1219

Mailing address

666 Old Bethpage Rd
Old Bethpage, NY 11804-1219
Phone (516) 586-4055

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

LicenseStateTypeSpecialty
N004947NYMDPrimary Podiatric Medicine Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1154414530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 OLD BETHPAGE RD",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041219",
            "telephone_number": "516-586-4055",
            "fax_number": "516-777-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 OLD BETHPAGE RD",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041219",
            "telephone_number": "516-586-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASMINOFF",
        "first_name": "JUNE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N004947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.