Elizabeth Haeni DPM

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

N004746 Issued in NY

Legal business name

ELIZABETH HAENI DPM

Practice address

50 Meadow Glen Rd
Northport, NY 11768-2711

Phone

(631) 262-3331

Fax

(631) 262-3331

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Ann Haeni, DPMNPI 1760549836

Title

Owner

Phone

(631) 262-3331

Specialties & licenses 2

Addresses

Practitioners 1

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

• Elizabeth A Haeni, DPM

  • Podiatrist
  • Northport, NY
  • NPI 1760549836
  NPD (past) Authorized official

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1285810465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEADOW GLEN RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682711",
            "telephone_number": "631-262-3331",
            "fax_number": "631-262-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEADOW GLEN RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682711",
            "telephone_number": "631-262-3331",
            "fax_number": "631-262-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH HAENI DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "HAENI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-262-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N004746",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "N004746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Egglinger
• Ejm Prestige Enterprise, LLC
• Andrew Michael Ekelund, PT
• Basem Sadek Elfaham, M.D.
• Elizabeth Ann Haeni DPM PC
• Tracey E Enright, MT-BC
• Marina Erato
• Janet Ellen Eschen, PH.D.
• Joan E Ettinger, CASAC
• Setareh Leila Evans

• Customized Equipment (DME) in Northport, NY
• Providers in Northport, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.