Organization Active NPI

Steuben Podiatry NA LLP

  • Podiatrist
  • Corning, NY
National Provider Identifier
1285795906
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002447 Issued in NY
Legal business name
STEUBEN PODIATRY NA LLP
Practice address
154 E 2ND St
Corning, NY 14830-2802
Phone
(607) 936-6933
Fax
(607) 936-3619
NPI assigned
Dec 13, 2006
Reactivated
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Joseph E Hatef, DPMNPI 1730184185
Title
DPM
Phone
(607) 936-6933

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N002447 NY Primary

Addresses

Primary practice location

154 E 2ND St
Corning, NY 14830-2802

Mailing address

154 E 2ND St
Corning, NY 14830-2802
Phone (607) 936-6933

Other names 1

  • Steuben Podiatry NA LLP Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120123000277 NY Part B Supplier - Clinic/Group Practice 5193844850 Receives reassigned benefits from 1 practitioner
Practice locations: Corning, NY

National Provider Directory

National Provider Directory

Locations

223 W Morris St
Bath, NY 14810
Phone (607) 776-2931

154 E 2nd St
Corning, NY 14830
Phone (607) 936-6933

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1285795906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 E 2ND ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302802",
            "telephone_number": "607-936-6933",
            "fax_number": "607-936-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E 2ND ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302802",
            "telephone_number": "607-936-6933",
            "fax_number": "607-936-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEUBEN PODIATRY NA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-10-28",
        "certification_date": "2021-08-11",
        "deactivation_date": "2020-11-20",
        "reactivation_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "HATEF",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "607-936-6933",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steuben Podiatry NA LLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.