Organization Active NPI

Advanced Foot Care of Long Islance, P.C.

  • Podiatrist
  • Woodmere, NY
National Provider Identifier
1194856757
Registry record updated Jul 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NOO4792-1 Issued in NY
Legal business name
ADVANCED FOOT CARE OF LONG ISLANCE, P.C.
Practice address
821 Woodmere CT
Su 1C
Woodmere, NY 11598-2552
Phone
(516) 295-0825
Fax
(516) 295-0825
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2007

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

Authorized official

Name
Dr. Eric Rosenberg, DPMNPI 1104981877
Title
Podiatrist-President
Phone
(516) 295-0825

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X NOO4792-1 NY Primary

Addresses

Primary practice location

821 Woodmere CT
Su 1C
Woodmere, NY 11598-2552

Mailing address

821 Woodmere CT
Su 1C
Woodmere, NY 11598-2552
Phone (516) 295-0825

Other identifiers 7

IdentifierTypeStateIssuer
1042323OtherNYUNITED HEALTH CARE
59872OtherNYVYTRA HEALTH PLANS
6200506OtherNYGHI
1C6729OtherNYHEALTH NET
01302785MedicaidNY
4950990001OtherNYDME MEDICARE
9131217OtherNYCIGNA

National Provider Directory

National Provider Directory

Locations

242 Merrick Rd
Ste 303
Rockville Ctr, NY 11570
Phone (516) 536-7694

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184976000000",
    "number": "1194856757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 WOODMERE CT",
            "address_2": "SU 1C",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982552",
            "telephone_number": "516-295-0825",
            "fax_number": "516-295-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WOODMERE CT",
            "address_2": "SU 1C",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982552",
            "telephone_number": "516-295-0825",
            "fax_number": "516-295-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT CARE OF LONG ISLANCE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PODIATRIST-PRESIDENT",
        "authorized_official_telephone_number": "516-295-0825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NOO4792-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1042323",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA HEALTH PLANS",
            "identifier": "59872",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6200506",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1C6729",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01302785",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MEDICARE",
            "identifier": "4950990001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9131217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.