Organization Active NPI

Country Foot Care, Huntington, P.C.

  • Podiatrist
  • Mineola, NY
National Provider Identifier
1316042773
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003218 Issued in NY
Legal business name
COUNTRY FOOT CARE, HUNTINGTON, P.C.
Practice address
155 Mineola Blvd
Suite B
Mineola, NY 11501-3920
Phone
(516) 741-3338
Fax
(516) 741-4601
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Douglas Brook, DPM
Title
Podiatrist
Phone
(516) 741-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N003218 NY Primary

Addresses

Primary practice location

155 Mineola Blvd
Suite B
Mineola, NY 11501-3920

Mailing address

155 Mineola Blvd
Suite B
Mineola, NY 11501-3920
Phone (516) 741-3338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316042773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MINEOLA BLVD",
            "address_2": "SUITE B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013920",
            "telephone_number": "516-741-3338",
            "fax_number": "516-741-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MINEOLA BLVD",
            "address_2": "SUITE B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013920",
            "telephone_number": "516-741-3338",
            "fax_number": "516-741-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY FOOT CARE, HUNTINGTON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "516-741-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.