Park Place Podiatry PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

006450 Issued in NY

Legal business name

PARK PLACE PODIATRY PLLC

Practice address

291 Broadway Ste 810
New York, NY 10007

Phone

(212) 484-0922

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Raphael Lilker, DPMNPI 1396011581

Title

President

Phone

(516) 779-3654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Raphael Lilker, DPM

  • Podiatrist
  • New York, NY
  • NPI 1396011581
  Medicare reassignment NPD Authorized official
• Irina Abramova, DPM

  • Podiatrist
  • Great Neck, NY
  • NPI 1578974655
  NPD
• Nelya Lobkova, D.P.M.

  • Podiatrist
  • New York, NY
  • NPI 1255628889
  NPD

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1255786331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 BROADWAY STE 810",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071814",
            "telephone_number": "212-484-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BROADWAY STE 810",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "212-484-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2024-02-22",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "LILKER",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-779-3654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Madison Professional Laboratories, Inc.
• Park North Physical Therapy, PLLC
• Park Nyc Medical Office, P.C.
• Park Physician Practice, PC
• Park Place Medical Imaging P.C.
• Park Podiatry, P.C.
• Park Psychological Services, P.C.
• Park Psychology PLLC
• Park Sixty Dental PC
• Park Sleep Vip & Wellness LLC

• Foot Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.