Owen James McCrudden, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

005928-1 Issued in NY

Practice address

8029 Jericho Tpke
Woodbury, NY 11797

Phone

(516) 496-0900

Fax

(516) 496-0901

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• D T Peterson DPM PC

  • Foot Surgery Podiatrist
  • Woodbury, NY
  • NPI 1376845669
  Medicare reassignment NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1285641886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8029 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "11797",
            "telephone_number": "516-496-0900",
            "fax_number": "516-496-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "11797",
            "telephone_number": "516-496-0900",
            "fax_number": "516-496-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRUDDEN",
        "first_name": "OWEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "005928-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marinaro, NP
• Shabiah Colin Martin, M.D
• Marvin Boris MD and Stanley Weindorf MD
• Marvin Boris, M.D. PLLC
• Mary Corsetieres LTD
• Lorraine McGinn, COTA
• Taylor Helen McGowan
• Medical Oncology Associates of Long Island PC
• Medical Oncology Associates of Long Island PC
• Melanie Herzfeld, Au.D. Audiologist PC

• Foot Surgery Podiatrist in Woodbury, NY
• Providers in Woodbury, 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 Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.