NPIMap

Organization Active NPI

885 Park Avenue Podiatry

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1225210362
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N002752 Issued in NY
Legal business name
885 PARK AVENUE PODIATRY
Practice address
885 Park Ave
New York, NY 10075-0325
Phone
(212) 535-0229
Fax
(212) 734-3192
NPI assigned
Nov 30, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Suzanne Levine, D.P.MNPI 1710037668
Title
Owner
Phone
(212) 535-0229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N002752 NY Primary

Addresses

Primary practice location

885 Park Ave
New York, NY 10075-0325

Mailing address

885 Park Ave
New York, NY 10075-0325
Phone (212) 535-0229

National Provider Directory

National Provider Directory
Tax ID family
885 Park Avenue Podiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1225210362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750325",
            "telephone_number": "212-535-0229",
            "fax_number": "212-734-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750325",
            "telephone_number": "212-535-0229",
            "fax_number": "212-734-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "885 PARK AVENUE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-535-0229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N002752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.