NPIMap

Organization Active NPI

West Islip Foot Care Center

  • Foot Surgery Podiatrist
  • West Islip, NY
National Provider Identifier
1174747497
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
WEST ISLIP FOOT CARE CENTER
Practice address
212 Higbie LN
Suite 2
West Islip, NY 11795-2827
Phone
(631) 661-7400
Fax
(631) 661-3958
NPI assigned
Apr 11, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Ms. Bernadette Hayes
Title
Manager
Phone
(631) 661-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X NY Primary

Addresses

Primary practice location

212 Higbie LN
Suite 2
West Islip, NY 11795-2827

Mailing address

212 Higbie Lane
Suite 2
West Islip, NY 11795-2827
Phone (631) 661-7400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1174747497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGBIE LANE",
            "address_2": "SUITE 2",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952827",
            "telephone_number": "631-661-7400",
            "fax_number": "631-661-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGBIE LN",
            "address_2": "SUITE 2",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952827",
            "telephone_number": "631-661-7400",
            "fax_number": "631-661-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ISLIP FOOT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-661-7400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.