Ideal Feet Podiatry, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

IDEAL FEET PODIATRY, P.C.

Practice address

16110 Jamaica Ave
Jamaica, NY 11432-6139

Phone

(718) 873-3174

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Fuzaylov, DPM

Title

Doctor

Phone

(718) 873-3174

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1336606623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326139",
            "telephone_number": "718-873-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL FEET PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "FUZAYLOV",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-873-3174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Iacometta
• Joan Ibasco
• Joy Orbon Ibe, PHYSICAL THERAPIST
• Shamala Ibrahim, RPA-C
• Christina Idarecis
• Kyana Armani Ifill, PHARMD
• Ilmira Igamberdieva
• Ih Rehab PT PC
• Gabriella Ijaji, PA
• Maya Ijeaku, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.