Active NPI
Lindenhurst Podiatry Associates
- Podiatrist
- Lindenhurst, NY
National Provider Identifier
1215923123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N1791
- Legal business name
- LINDENHURST PODIATRY ASSOCIATES
- Practice address
- 656 N Wellwood Ave Ste 208B
Lindenhurst, NY 11757-1694 - Phone
- (631) 957-7277
- Fax
- (631) 226-0900
- NPI assigned
- Sep 26, 2005
- 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
- Dr. Seymour Charles Frank, DDM
- Title
- Podiatrist Partner
- Phone
- (631) 957-7277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N1791 | NY | Primary |
Addresses
Primary practice location
656 N Wellwood Ave Ste 208B
Lindenhurst, NY 11757-1694
Mailing address
656 N Wellwood Ave Ste 208B
Lindenhurst, NY 11757-1694
Phone (631) 957-7277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P09382 | Other | NY | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
656 Wellwood Ave
Ste 208B
Lindenhurst, NY 11757
Phone (631) 957-7277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234224000000",
"number": "1215923123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 N WELLWOOD AVE STE 208B",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117571694",
"telephone_number": "631-957-7277",
"fax_number": "631-226-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 N WELLWOOD AVE STE 208B",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117571694",
"telephone_number": "631-957-7277",
"fax_number": "631-226-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDENHURST PODIATRY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2009-02-10",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "SEYMOUR",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PODIATRIST PARTNER",
"authorized_official_telephone_number": "631-957-7277",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NY",
"license": "N1791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P09382",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.