Organization Active NPI

Ra Podiatry PC

  • Podiatrist
  • Merrick, NY
National Provider Identifier
1326256983
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002590 Issued in NY
Legal business name
RA PODIATRY PC
Practice address
2116 Merrick Ave
Suite 3008
Merrick, NY 11566-3445
Phone
(516) 378-9191
Fax
(516) 378-2911
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Richard L Amato, DPM
Title
Podiatrist
Phone
(516) 378-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N002590 NY Primary

Addresses

Primary practice location

2116 Merrick Ave
Suite 3008
Merrick, NY 11566-3445

Mailing address

2116 Merrick Ave
Suite 3008
Merrick, NY 11566-3445
Phone (516) 378-9191

Other identifiers 1

IdentifierTypeStateIssuer
00415072MedicaidNY

National Provider Directory

National Provider Directory

Locations

2116 Merrick Ave
Ste 3008
North Merrick, NY 11566
Phone (516) 378-9191

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1326256983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 MERRICK AVE",
            "address_2": "SUITE 3008",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663445",
            "telephone_number": "516-378-9191",
            "fax_number": "516-378-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 MERRICK AVE",
            "address_2": "SUITE 3008",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663445",
            "telephone_number": "516-378-9191",
            "fax_number": "516-378-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "AMATO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "516-378-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00415072",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.