Organization Active NPI

Katonah Podiatry, PC

  • Primary Podiatric Medicine Podiatrist
  • Katonah, NY
National Provider Identifier
1245376342
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N003360-1 Issued in NY
Legal business name
KATONAH PODIATRY, PC
Practice address
200 Katonah Ave
Katonah, NY 10536-2175
Phone
(914) 232-8880
Fax
(914) 232-2245
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Pamela S Hoffman, DPM
Title
Owner
Phone
(914) 232-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X N003360-1 NY Primary

Addresses

Primary practice location

200 Katonah Ave
Katonah, NY 10536-2175

Mailing address

200 Katonah Ave
Katonah, NY 10536-2175
Phone (914) 232-8880

Other identifiers 1

IdentifierTypeStateIssuer
00805821MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1245376342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KATONAH AVE",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362175",
            "telephone_number": "914-232-8880",
            "fax_number": "914-232-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KATONAH AVE",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362175",
            "telephone_number": "914-232-8880",
            "fax_number": "914-232-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATONAH PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-232-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N003360-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00805821",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.