Organization Active NPI

Footsteps Podiatry PLLC

  • Podiatric Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1316315377
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
N006578 Issued in NY
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

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Dr. Olga Davydova, D.P.MNPI 1275806044
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20160322000870 NY Part B Supplier - Clinic/Group Practice 9234436015 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY; Forest Hills, NY; Brooklyn, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.