Individual provider Active NPI

Neal Michael Vichinsky, DPM

  • Podiatrist
  • Floral Park, NY
National Provider Identifier
1356484695
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NY 002345 Issued in NY
Practice address
6916 261St St
Floral Park, NY 11004-1012
Phone
(718) 389-1800
Fax
(718) 349-7783
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NY 002345 NY Primary

Addresses

Primary practice location

6916 261St St
Floral Park, NY 11004-1012

Mailing address

6916 261St St
Floral Park, NY 11004-1012
Phone (718) 389-1800

Other identifiers 4

IdentifierTypeStateIssuer
00413938MedicaidNY
05340OtherNYGHI MEDICARE
201929OtherNYUNITED HC
0079467OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NY 002345NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Neal M. Vichinsky PastSince May 12, 1994 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1356484695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 261ST ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041012",
            "telephone_number": "718-389-1800",
            "fax_number": "718-349-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 261ST ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041012",
            "telephone_number": "718-389-1800",
            "fax_number": "718-349-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICHINSKY",
        "first_name": "NEAL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NY 002345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00413938",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "05340",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HC",
            "identifier": "201929",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0079467",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.