Organization Active NPI

Anthony J Garofalo

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1184879504
Registry record updated Dec 8, 2011
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Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004340 Issued in NY
Legal business name
ANTHONY J GAROFALO
Practice address
1946 Victory Blvd
Staten Island, NY 10314
Phone
(718) 442-4272
Fax
(718) 442-4292
NPI assigned
Nov 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Anthony Joseph Garofalo, DPM
Title
Sole Proprietor
Phone
(718) 442-4272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N004340 NY Primary

Addresses

Primary practice location

1946 Victory Blvd
Staten Island, NY 10314

Mailing address

PO Box 995
Whitehouse Station, NJ 08889-0995
Phone (718) 442-4272

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1184879504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 995",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088890995",
            "telephone_number": "718-442-4272",
            "fax_number": "718-442-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-442-4272",
            "fax_number": "718-442-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J GAROFALO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "GAROFALO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "718-442-4272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004340",
            "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 Dec 8, 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.