Active NPI
Cross County Podiatry, PC
- Foot & Ankle Surgery Podiatrist
- Floral Park, NY
National Provider Identifier
1275128126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- CROSS COUNTY PODIATRY, PC
- Practice address
- 25062 Jericho Tpke
Floral Park, NY 11001-4004 - Phone
- (646) 535-3668
- NPI assigned
- Mar 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert Samandarov, DPM
- Title
- Podiatrist
- Phone
- (917) 440-9562
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
25062 Jericho Tpke
Floral Park, NY 11001-4004
Mailing address
3116 30TH Ave Ste 203
Astoria, NY 11102-1545
Phone (718) 626-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250121002551 | NY | DME Supplier - Physician - Podiatry | 0143759183 | Practice locations: Floral Park, NY |
National Provider Directory
National Provider DirectoryLocations
25062 Jericho Tpke
Floral Park, NY 11001
Phone (646) 535-3668
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Astoria, NY
- NPI 1528364353
-
- Foot & Ankle Surgery Podiatrist
- Flushing, NY
- NPI 1023571452
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1588076806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614729600000",
"number": "1275128126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 30TH AVE STE 203",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021545",
"telephone_number": "718-626-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25062 JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110014004",
"telephone_number": "646-535-3668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSS COUNTY PODIATRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A",
"authorized_official_last_name": "SAMANDAROV",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "917-440-9562",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.