Organization Active NPI

North Country Podiatry,PC

  • Foot & Ankle Surgery Podiatrist
  • Mount Sinai, NY
National Provider Identifier
1356510283
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N003743 Issued in NY
Legal business name
NORTH COUNTRY PODIATRY,PC
Practice address
626 Canal Rd
Mount Sinai, NY 11766-3309
Phone
(631) 331-3338
Fax
(631) 331-0014
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Mark G. Gresser, D.P.M.
Title
Owner/Principal
Phone
(631) 331-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N003743 NY Primary

Addresses

Primary practice location

626 Canal Rd
Mount Sinai, NY 11766-3309

Mailing address

626 Canal Rd
Mount Sinai, NY 11766-3309
Phone (631) 331-3338

Other names 1

  • MARK G. GRESSER, DPM Other name

National Provider Directory

National Provider Directory

Locations

73 N Country Rd
Port Jefferson, NY 11777

73 N Country Rd
Port Jefferson, NY 11777

625 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (516) 473-4753

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1356510283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 CANAL RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117663309",
            "telephone_number": "631-331-3338",
            "fax_number": "631-331-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CANAL RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117663309",
            "telephone_number": "631-331-3338",
            "fax_number": "631-331-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY PODIATRY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "GRESSER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/PRINCIPAL",
        "authorized_official_telephone_number": "631-331-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N003743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARK G. GRESSER, DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Sinai, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.