NPIMap

Organization Active NPI

Family Footcare Group, LLP

  • Foot & Ankle Surgery Podiatrist
  • Monticello, NY
National Provider Identifier
1356539092
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FAMILY FOOTCARE GROUP, LLP
Practice address
427 Broadway
Ste 2
Monticello, NY 12701-1742
Phone
(845) 794-7741
Fax
(845) 794-0228
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Dr. Marc J Hudes, DPM
Title
Managing Partner
Phone
(845) 794-7741

Specialties & licenses 1

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

Addresses

Primary practice location

427 Broadway
Ste 2
Monticello, NY 12701-1742

Mailing address

427 Broadway
Ste 2
Monticello, NY 12701-1742
Phone (845) 794-7741

Other identifiers 1

IdentifierTypeStateIssuer
0441090001OtherNYMEDICARE DMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000283 NY Part B Supplier - Clinic/Group Practice 9032018866 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
Practice locations: Monroe, NY; Port Jervis, NY; Monticello, NY; Middletown, NY; Liberty, NY; Callicoon, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1987 Route 52
Ste 7
Liberty, NY 12754
Phone (845) 292-5200

390 Crystal Run Rd
Ste 110
Middletown, NY 10941
Phone (845) 692-3668

400 State Route 17M
Ste 17
Monroe, NY 10950
Phone (845) 492-8637

Practitioners & affiliated clinicians

Practitioners 7

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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1356539092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 BROADWAY",
            "address_2": "STE 2",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011742",
            "telephone_number": "845-794-7741",
            "fax_number": "845-794-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BROADWAY",
            "address_2": "STE 2",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011742",
            "telephone_number": "845-794-7741",
            "fax_number": "845-794-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOTCARE GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "HUDES",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "845-794-7741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0441090001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.