Organization Active NPI

Astoria Advanced Footcare

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1265670640
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N004560 Issued in NY
Legal business name
ASTORIA ADVANCED FOOTCARE
Practice address
501 5TH Ave
Suite#1108
New York, NY 10017-6107
Phone
(212) 682-3338
Fax
(212) 682-3335
NPI assigned
Jan 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Roger A. Hans, DPM
Title
President
Phone
(718) 545-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N004560 NY Primary

Addresses

Primary practice location

501 5TH Ave
Suite#1108
New York, NY 10017-6107

Mailing address

501 5TH Ave
Suite#1108
New York, NY 10017-6107
Phone (212) 682-3338

Other names 1

  • Grand Central Podiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Astoria Advanced Footcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

501 5th Ave
Rm 1108
New York, NY 10017
Phone (212) 661-8480

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1265670640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 5TH AVE",
            "address_2": "SUITE#1108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176107",
            "telephone_number": "212-682-3338",
            "fax_number": "212-682-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 5TH AVE",
            "address_2": "SUITE#1108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176107",
            "telephone_number": "212-682-3338",
            "fax_number": "212-682-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA ADVANCED FOOTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "HANS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-545-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Central Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 4, 2010; 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.