Advanced Podiatric Medicine & Surgery, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005278-1 Issued in NY

Legal business name

ADVANCED PODIATRIC MEDICINE & SURGERY, P.C.

Practice address

3725 US Highway 9W
Highland, NY 12528-2041

Phone

(845) 691-9388

Fax

(845) 691-9068

NPI assigned

Oct 13, 2006

Last updated

Apr 20, 2008By 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

Mrs. Vanessa Mary Darmochwal, D.P.M

Title

President

Phone

(845) 691-9388

Specialties & licenses 2

Addresses

Other identifiers 12

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1275623266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 US HIGHWAY 9W",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282041",
            "telephone_number": "845-691-9388",
            "fax_number": "845-691-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 US HIGHWAY 9W",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282041",
            "telephone_number": "845-691-9388",
            "fax_number": "845-691-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PODIATRIC MEDICINE & SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DARMOCHWAL",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-691-9388",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005278-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "PCWB51",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10035850",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9108",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "989630",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST UNITED AMERICAN LIF",
            "identifier": "PCWB51",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN PROGRESSIVE",
            "identifier": "150605577",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDECS",
            "identifier": "VANESSA DARMOCHWAL",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "P10831",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "NY9999",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1034534",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01879643",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C6599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Highland, NY
• Providers in Highland, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.