Dr. Michael Wooster, DPM PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N004520 Issued in NY

Legal business name

DR. MICHAEL WOOSTER, DPM PC

Practice address

826 Main St
Farmingdale, NY 11735-4152

Phone

(516) 420-1832

NPI assigned

Sep 3, 2008

Last updated

Jan 31, 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. Michael F Wooster, DPMNPI 1720058522

Title

President

Phone

(516) 420-1832

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dr. Michael Wooster, DPM PC

  • Foot Surgery Podiatrist
  • Medford, NY
  • NPI 1134300742

  5991895757

  Same PAC ID

Locations

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.

• Michael F Wooster, DPM

  • Podiatrist
  • Medford, NY
  • NPI 1720058522
  NPD Authorized official

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1275781460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354152",
            "telephone_number": "516-420-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354152",
            "telephone_number": "516-420-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL WOOSTER, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "WOOSTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-420-1832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01176594",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC PTAN",
            "identifier": "6473070001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryanne T Donnelly
• Cindy Bichebara Dorsainvil
• Amanda Rose Doty, PA-C
• Raquel Downing
• Dr. Hyoung Gyo Kim L.Ac P.C.
• Dr. Ronald P. Mazza, DC, PC
• Dragonfly ABA
• Dragonfly Applied Behavior Analysis PC
• Dragonfly Applied Behavior Analysis PC
• Norma R Drossman, LCSW

• Foot Surgery Podiatrist in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.