Organization Active NPI

Charles Passet DPM PC

  • Foot Surgery Podiatrist
  • Forest Hills, NY
National Provider Identifier
1356547020
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003006 Issued in NY
Legal business name
CHARLES PASSET DPM PC
Practice address
6357 108TH St
Forest Hills, NY 11375-1607
Phone
(718) 896-6369
Fax
(718) 896-6159
NPI assigned
Jun 21, 2007
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Charles Passet, DPMNPI 1366488611
Title
Owner
Phone
(718) 896-6369

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4254920001 NY
Foot Surgery Podiatrist 213ES0131X N003006 NY Primary

Addresses

Primary practice location

6357 108TH St
Forest Hills, NY 11375-1607

Mailing address

6357 108TH St
Forest Hills, NY 11375-1607
Phone (718) 896-6369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000464 NY Part B Supplier - Clinic/Group Practice 2961489315 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1356547020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6357 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751607",
            "telephone_number": "718-896-6369",
            "fax_number": "718-896-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6357 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751607",
            "telephone_number": "718-896-6369",
            "fax_number": "718-896-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES PASSET DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "PASSET",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-896-6369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "4254920001",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.