Organization Active NPI

East Village Foot Care, PC

  • Legal Medicine
  • New York, NY
National Provider Identifier
1265484612
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
N002961 Issued in NY
Legal business name
EAST VILLAGE FOOT CARE, PC
Practice address
96 E 4TH St
New York, NY 10003-9001
Phone
(212) 677-8850
NPI assigned
May 16, 2006
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Dr. Michael Edward Scanlon, DPM.NPI 1801849666
Title
Owner/Doctor
Phone
(212) 677-8850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X N002961 NY Primary

Addresses

Primary practice location

96 E 4TH St
New York, NY 10003-9001

Mailing address

96 E 4TH St
New York, NY 10003-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000129 NY Part B Supplier - Clinic/Group Practice 2264323773 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

96 E 4th St
New York, NY 10003
Phone (212) 677-8850

Practitioners & affiliated clinicians

Practitioners 4

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1265484612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 E 4TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 E 4TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039001",
            "telephone_number": "212-677-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VILLAGE FOOT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "212-677-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "N002961",
            "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 Jun 4, 2013; 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.