Empire Footcare & Surgery PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N0060041 Issued in NY

Legal business name

EMPIRE FOOTCARE & SURGERY PC

Practice address

6406 Fleet St
Flushing, NY 11374-5243

Phone

(917) 960-4023

Fax

(122) 503-3555

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Brian E FannoNPI 1447353651

Title

President

Phone

(917) 960-4023

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian E Fanno, DPM

  • Podiatrist
  • New York, NY
  • NPI 1447353651
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1205939402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 FLEET ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113745243",
            "telephone_number": "917-960-4023",
            "fax_number": "212-503-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 FLEET ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113745243",
            "telephone_number": "917-960-4023",
            "fax_number": "122-503-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469 7th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187605",
            "country_code": "US",
            "telephone_number": "917-960-4023",
            "fax_number": "212-503-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPIRE FOOTCARE & SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "FANNO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-960-4023"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0060041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02637290",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magdy Elsharouny, D.D.S.
• Ema'S Ambulette, Inc.
• Franklin Osagie Emokpae, OTR/L; RN
• Empire 7 Inc.
• Empire Dental, P.C.
• Empire Physical Therapy, PC
• Empress Dental Service PLLC
• Enabling Therapy
• Marion Aira Castro Encabo, PT
• End Speech Language Pathology,PC

• Podiatrist in Flushing, NY
• Providers in Flushing, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.