Active NPI
Footsteps Podiatry PLLC
- Podiatric Clinic/Center
- Forest Hills, NY
National Provider Identifier
1316315377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- N006578
- Legal business name
- FOOTSTEPS PODIATRY PLLC
- Practice address
- 6743 Booth St
Forest Hills, NY 11375-2751 - Phone
- (718) 896-2323
- Fax
- (718) 896-2322
- NPI assigned
- Sep 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Olga Davydova, D.P.M
- Title
- Podiatrist
- Phone
- (718) 896-2323
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | N006578 | NY | Primary |
Addresses
Primary practice location
6743 Booth St
Forest Hills, NY 11375-2751
Mailing address
6743 Booth St
Forest Hills, NY 11375-2751
Phone (718) 896-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6743 Booth St
Forest Hills, NY 11375
Phone (718) 896-2323
6743 Booth St
Lowr
Forest Hills, NY 11375
Phone (718) 896-2323
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Forest Hills, NY
- NPI 1275806044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694995200000",
"number": "1316315377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6743 BOOTH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752751",
"telephone_number": "718-896-2323",
"fax_number": "718-896-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6743 BOOTH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752751",
"telephone_number": "718-896-2323",
"fax_number": "718-896-2322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOTSTEPS PODIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-08",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A",
"authorized_official_last_name": "DAVYDOVA",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "718-896-2323",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "NY",
"license": "N006578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
- Trudy Font-Padron, ED.D
- Aldalicia Fontane, MS
- Gweneth Fontanilla
- Foot and Ankle Center of Fort Lee Podiatry
- Footprint Podiatry Care PC
- Forest Eye Care Optometry, PLLC
- Forest Hills Acupuncture & Physical Therapy PLLC
- Forest Hills Acupuncture, PC
- Forest Hills Ambulatory Medical Care PLLC
- Forest Hills Audiology PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.