Active NPI
West Islip Foot Care PC
- Sports Medicine Podiatrist
- West Islip, NY
National Provider Identifier
1194802827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- License
- N003452
- Legal business name
- WEST ISLIP FOOT CARE PC
- Practice address
- 212 Higbie LN
Suite #2
West Islip, NY 11795-2827 - Phone
- (631) 661-7400
- Fax
- (631) 661-3958
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Bernadette Hayes
- Title
- MGR
- Phone
- (631) 661-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | N003452 | NY | Primary |
Addresses
Primary practice location
212 Higbie LN
Suite #2
West Islip, NY 11795-2827
Mailing address
212 Higbie LN
Suite #2
West Islip, NY 11795-2827
Phone (631) 661-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
212 Higbie Ln
West Islip, NY 11795
Phone (516) 696-0123
212 Higbie Ln
Ste 2
West Islip, NY 11795
Phone (631) 661-7400
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Podiatrist
- West Islip, NY
- NPI 1497740005
-
- Podiatrist
- East Islip, NY
- NPI 1336240886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1194802827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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 PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "BERNADETTE",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "631-661-7400",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Sports Medicine",
"state": "NY",
"license": "N003452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
- Elizabeth Francesca Weisman, DO
- Brittany Morgan Weissman, PA-C
- West Islip Chiropractic, Physical Therapy, Acupuncture, and Adult Health NP, PLLC
- West Islip Fire District
- West Islip Foot Care Center
- West Islip Medical Care
- West Islip Union Free School District
- Western Hills Medical Services PLLC
- Danielle Wharton, DVM
- Adam Patrick White, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.