Footluxe of Long Island LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOTLUXE OF LONG ISLAND LLC

Practice address

70 Maple Ave
Rockville Centre, NY 11570-4225

Phone

(516) 536-3336

Fax

(516) 858-1125

NPI assigned

Aug 1, 2017

Last updated

Jul 21, 2022By 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

Raffaella BuffolinoNPI 1871727024

Title

Owner

Phone

(516) 342-0673

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Raffaella Buffolino, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flushing, NY
  • NPI 1871727024
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275057341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAPLE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704225",
            "telephone_number": "516-536-3336",
            "fax_number": "516-858-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAPLE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704225",
            "telephone_number": "516-536-3336",
            "fax_number": "516-858-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTLUXE OF LONG ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "BUFFOLINO",
        "authorized_official_first_name": "RAFFAELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-342-0673"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "006550",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wanda Y Florentino, CASAC
• Annette N/a Flores, RN
• Pedro Flores, RPA
• Mark Flugman, M.D.
• Fontak Inc (Ryan Medical Pharmacy)
• Renee Marcia Forgenie, ADULT NP
• Lisa Anne Forgione, M.D.
• Jillian Danielle Forte, PHYSICIAN ASSISTANT
• Mackenzie Fox
• Francine Guzman, M.D. P.C. Dba Pollack, Barbaccia & Guzman MDPC

• Foot & Ankle Surgery Podiatrist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.