Active NPI
Tekchand Thakurdial, DPM, P.C.
- Foot & Ankle Surgery Podiatrist
- Staten Island, NY
National Provider Identifier
1164780466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N005476-1
- Legal business name
- TEKCHAND THAKURDIAL, DPM, P.C.
- Practice address
- 4243 Richmond Ave, 1St FL
Staten Island, NY 10312-6221 - Phone
- (718) 554-4098
- Fax
- (718) 554-4594
- NPI assigned
- Apr 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tekchand Thakurdial, DPM
- Title
- Doctor
- Phone
- (718) 554-4098
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N005476-1 | NY | Primary |
Addresses
Primary practice location
4243 Richmond Ave, 1St FL
Staten Island, NY 10312-6221
Mailing address
4243 Richmond Ave 1St FL
Staten Island, NY 10312-6221
Phone (718) 554-4098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Wayne, NJ
- NPI 1619322955
Foot & Ankle Surgery, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1164780466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4243 RICHMOND AVE 1ST FL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103126221",
"telephone_number": "718-554-4098",
"fax_number": "718-554-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4243 RICHMOND AVE, 1ST FL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103126221",
"telephone_number": "718-554-4098",
"fax_number": "718-554-4594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEKCHAND THAKURDIAL, DPM, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "THAKURDIAL",
"authorized_official_first_name": "TEKCHAND",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "718-554-4098",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N005476-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.