NPIMap

Organization Active NPI

Pidich Podiatry PC

  • Preferred Provider Organization
  • New York, NY
National Provider Identifier
1346789484
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
006354 Issued in NY
Legal business name
PIDICH PODIATRY PC
Practice address
45 W 34TH St
Suite 903
New York, NY 10001-3008
Phone
(718) 548-1104
Fax
(718) 548-1103
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Casey Ann Pidich, DPMNPI 1619293826
Title
Owner
Phone
(718) 548-1104

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
Preferred Provider Organization 305R00000X 006354 NY Primary

Addresses

Primary practice location

45 W 34TH St
Suite 903
New York, NY 10001-3008

Mailing address

45 W 34TH St
Suite 903
New York, NY 10001-3008
Phone (718) 548-1104

National Provider Directory

National Provider Directory

Locations

45 W 34th St
Rm 903
New York, NY 10001
Phone (646) 454-8264

Practitioners & affiliated clinicians

Practitioners 2

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": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1346789484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W 34TH ST",
            "address_2": "SUITE 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013008",
            "telephone_number": "718-548-1104",
            "fax_number": "718-548-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 34TH ST",
            "address_2": "SUITE 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013008",
            "telephone_number": "718-548-1104",
            "fax_number": "718-548-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIDICH PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "PIDICH",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-548-1104",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "006354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.