NPIMap

Organization Active NPI

Glen Cove Podiatry, PLLC

  • Podiatrist
  • Glen Cove, NY
National Provider Identifier
1174427439
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GLEN COVE PODIATRY, PLLC
Practice address
70 Glen St Ste 300
Glen Cove, NY 11542-2858
Phone
(516) 676-1116
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Dr. Ruby Gardner, DPMNPI 1770010118
Title
Podiatrist
Phone
(310) 801-7893

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary
Public Medicine Podiatrist 213EP0504X
Primary Podiatric Medicine Podiatrist 213EP1101X
Radiology Podiatrist 213ER0200X
Sports Medicine Podiatrist 213ES0000X

Addresses

Primary practice location

70 Glen St Ste 300
Glen Cove, NY 11542-2858

Mailing address

70 Glen St Ste 300
Glen Cove, NY 11542-2858
Phone (516) 676-1116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1174427439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GLEN ST STE 300",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422858",
            "telephone_number": "516-676-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN ST STE 300",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422858",
            "telephone_number": "516-676-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN COVE PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "310-801-7893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.