Organization Active NPI

Toback Podiatry, PLLC

  • Podiatrist
  • Highland, NY
National Provider Identifier
1164593695
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004154-3 Issued in NY
Legal business name
TOBACK PODIATRY, PLLC
Practice address
3433 Route 9W
Highland, NY 12528-8550
Phone
(845) 339-3338
Fax
(845) 340-1074
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Dr. Tracey G Toback, PODIATRIST
Title
Owner
Phone
(845) 691-3654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X N004154-3 NY Primary

Addresses

Primary practice location

3433 Route 9W
Highland, NY 12528-8550

Mailing address

PO Box 1550
Highland, NY 12528-8550
Phone (845) 339-3338

National Provider Directory

National Provider Directory

Locations

3433 Route 9W
#1550
Highland, NY 12528
Phone (845) 339-3338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1164593695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1550",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125288550",
            "telephone_number": "845-339-3338",
            "fax_number": "845-340-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 ROUTE 9W",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125288550",
            "telephone_number": "845-339-3338",
            "fax_number": "845-340-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBACK PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "TOBACK",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-691-3654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PODIATRIST"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004154-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.