Organization Active NPI

South Shore Foot Care P.C.

  • Foot Surgery Podiatrist
  • Cedarhurst, NY
National Provider Identifier
1184890725
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004682 Issued in NY
Legal business name
SOUTH SHORE FOOT CARE P.C.
Practice address
475 Chestnut St Unit a
Cedarhurst, NY 11516-2038
Phone
(516) 374-3668
NPI assigned
May 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Dr. Robert Stein, DPMNPI 1720189830
Title
Owner
Phone
(516) 374-3668

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N004682 NY Primary

Addresses

Primary practice location

475 Chestnut St Unit a
Cedarhurst, NY 11516-2038

Mailing address

475 Chestnut St Unit a
Cedarhurst, NY 11516-2038
Phone (516) 374-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081224000169 NY Part B Supplier - Clinic/Group Practice 6002978178 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin Square, NY; Cedarhurst, NY

National Provider Directory

National Provider Directory

Locations

475 Chestnut St
Unit A
Cedarhurst, NY 11516
Phone (516) 374-3668

960 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 775-8440

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": "1209859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1184890725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CHESTNUT ST UNIT A",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162038",
            "telephone_number": "516-374-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CHESTNUT ST UNIT A",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162038",
            "telephone_number": "516-374-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE FOOT CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-374-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.

Verify at the official NPI Registry.