Nyc Running Doc LLC

Primary specialty

Sports Medicine PodiatristTaxonomy code 213ES0000X

Legal business name

NYC RUNNING DOC LLC

Practice address

25 Central Park W Apt 1R
New York, NY 10023-7214

Phone

(646) 267-1075

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dr Brian William Fullem, DPM

Title

Owner

Phone

(646) 267-1075

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1336043702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CENTRAL PARK W APT 1R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237214",
            "telephone_number": "646-267-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CENTRAL PARK W APT 1R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237214",
            "telephone_number": "646-267-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC RUNNING DOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "FULLEM",
        "authorized_official_first_name": "DR BRIAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-267-1075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.