Organization Active NPI

Philip L Whitmandpmpc

  • Podiatrist
  • New York, NY
National Provider Identifier
1184973190
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002629 Issued in NY
Legal business name
PHILIP L WHITMANDPMPC
Practice address
220 E 63Rd St
New York, NY 10065-7660
Phone
(212) 473-8529
Fax
(212) 473-9447
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Dr. Philip Lewis Whitman, DPM
Title
Director
Phone
(212) 473-8529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N002629 NY Primary

Addresses

Primary practice location

220 E 63Rd St
New York, NY 10065-7660

Mailing address

65 Fayette Rd
Scarsdale, NY 10583-7155
Phone (212) 473-8529

Other identifiers 1

IdentifierTypeStateIssuer
00403452MedicaidNY

National Provider Directory

National Provider Directory

Locations

220 E 63rd St
Apt Ln
New York, NY 10065
Phone (212) 473-8529

220 E 63rd St
New York, NY 10065
Phone (212) 371-5201

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1184973190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FAYETTE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105837155",
            "telephone_number": "212-473-8529",
            "fax_number": "212-473-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 63RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657660",
            "telephone_number": "212-473-8529",
            "fax_number": "212-473-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP L WHITMANDPMPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "WHITMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-473-8529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00403452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.