Owen McCrudden DPM, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5928-1 Issued in NY

Legal business name

OWEN MCCRUDDEN DPM, PC

Practice address

8029 Jericho Tpke
Woodbury, NY 11797

Phone

(516) 496-0900

Fax

(516) 496-0901

NPI assigned

Feb 14, 2007

Last updated

Dec 3, 2008By 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. Owen James McCrudden, DPMNPI 1285641886

Title

Podiatrist

Phone

(516) 496-0900

Specialties & licenses 1

Addresses

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.

• Owen James McCrudden, DPM

  • Foot Surgery Podiatrist
  • Woodbury, NY
  • NPI 1285641886
  Authorized official Same address or phone

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1295877116",
    "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": {
        "organization_name": "OWEN MCCRUDDEN DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "MCCRUDDEN",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "516-496-0900",
        "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": "5928-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stacy M Oster, OCCUPATIONAL THERAPI
• Virginia Ott, MSN, ONC, NP-C
• Stuart Pace, PH.D.
• James Michael Paci, M.D.
• Palliative Care Medical Services PC
• Frank Jeffrey Palmaccio, D.D.S, M.S.
• Steven F Palter, M.D.

• Foot & Ankle Surgery Podiatrist in Woodbury, NY
• Providers in Woodbury, 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 Dec 3, 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.