Organization Active NPI

North Shore Podiatry, PC

  • Foot Surgery Podiatrist
  • Manhasset, NY
National Provider Identifier
1306018783
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005323 Issued in NY
Legal business name
NORTH SHORE PODIATRY, PC
Practice address
535 Plandome Rd
Door 2
Manhasset, NY 11003
Phone
(516) 365-5544
Fax
(516) 365-5545
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Dr. Lauren A Schwartz, DPMNPI 1528175544
Title
Owner
Phone
(516) 365-5544

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
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N005323 NY Primary

Addresses

Primary practice location

535 Plandome Rd
Door 2
Manhasset, NY 11003

Mailing address

535 Plandome Rd
Door 2
Manhasset, NY 11003
Phone (516) 365-5544

Other identifiers 1

IdentifierTypeStateIssuer
01774249MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080418000328 NY Part B Supplier - Clinic/Group Practice 3870671654 Receives reassigned benefits from 4 practitioners
Practice locations: Manhasset, NY
O20100930100279 NY DME Supplier - Physician - Podiatry 3870671654 Practice locations: Manhasset, NY

National Provider Directory

National Provider Directory

Locations

700 Old Country Rd
Ste 104
Plainview, NY 11803
Phone (516) 827-1515

535 Plandome Rd
Frnt 2
Plandome, NY 11030
Phone (516) 365-5544

Practitioners & affiliated clinicians

Practitioners 6

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1306018783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD",
            "address_2": "DOOR 2",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11003",
            "telephone_number": "516-365-5544",
            "fax_number": "516-365-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD",
            "address_2": "DOOR 2",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11003",
            "telephone_number": "516-365-5544",
            "fax_number": "516-365-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-365-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01774249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.