Organization Active NPI

Lindenhurst Podiatry Associates

  • Podiatrist
  • Lindenhurst, NY
National Provider Identifier
1215923123
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N1791 Issued in NY
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

Updated by the provider on Feb 10, 2009

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
P09382OtherNYBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.