Active NPI
Ra Podiatry PC
- Podiatrist
- Merrick, NY
National Provider Identifier
1326256983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N002590
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00415072 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.