Nyc Advanced Footcare PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

N006375 Issued in NY

Legal business name

NYC ADVANCED FOOTCARE PC

Practice address

16215 Highland Ave
Suite 1D
Jamaica, NY 11432-3452

Phone

(718) 658-9383

Fax

(718) 658-9385

NPI assigned

Aug 11, 2011

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Drucker, D.P.M.

Title

Owner

Phone

(212) 486-7333

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jarret Drucker, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1023457488
  NPD (past)
• Paul Drucker, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1316162985
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1265711949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST",
            "address_2": "SUITE 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221117",
            "telephone_number": "212-486-7333",
            "fax_number": "212-486-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 HIGHLAND AVE",
            "address_2": "SUITE 1D",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323452",
            "telephone_number": "718-658-9383",
            "fax_number": "718-658-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC ADVANCED FOOTCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "DRUCKER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-486-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "N006375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Podiatric Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.