Massapequa Podiatry Associates, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

004833 Issued in NY

Legal business name

MASSAPEQUA PODIATRY ASSOCIATES, P.C.

Practice address

4160 Merrick Rd
Suite 1
Massapequa, NY 11758-6000

Phone

(516) 541-9000

Fax

(516) 795-8082

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Corey Fox, DPMNPI 1922036466

Title

President

Phone

(516) 541-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corey Fox, D.P.M.

  • Foot Surgery Podiatrist
  • Massapequa, NY
  • NPI 1922036466
  Medicare reassignment Care Compare group NPD Authorized official
• Justin Lobello, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Northport, NY
  • NPI 1912376435
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1275653776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 MERRICK RD",
            "address_2": "SUITE 1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586000",
            "telephone_number": "516-541-9000",
            "fax_number": "516-795-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MERRICK RD",
            "address_2": "SUITE 1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586000",
            "telephone_number": "516-541-9000",
            "fax_number": "516-795-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAPEQUA PODIATRY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-541-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "004833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Massapequa, NY
• Providers in Massapequa, 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 Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.