Organization Active NPI

Parise Preferred Podiatry Corp

  • Foot Surgery Podiatrist
  • Melrose Park, IL
National Provider Identifier
1366003451
Registry record updated Nov 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
PARISE PREFERRED PODIATRY CORP
Practice address
675 W North Ave Ste 409
Melrose Park, IL 60160-1624
Phone
(773) 208-4443
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2022

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

Authorized official

Name
Daniel Parise, DPMNPI 1962796631
Title
Owner of Group
Phone
(773) 208-4443

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
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X Primary
Podiatric Clinic/Center 261QP1100X

Addresses

Primary practice location

675 W North Ave Ste 409
Melrose Park, IL 60160-1624

Mailing address

675 W North Ave Ste 104
Melrose Park, IL 60160-1622
Phone (773) 208-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190718002948 IL Part B Supplier - Clinic/Group Practice 4789919374 Receives reassigned benefits from 2 practitioners
Practice locations: Melrose Park, IL
O20200515002445 IL DME Supplier - Physician - Podiatry 4789919374 Practice locations: Melrose Park, IL

National Provider Directory

National Provider Directory

Locations

7310 W North Ave
Ste 3B
Elmwood Park, IL 60707
Phone (312) 852-2525

7310 W North Ave
Ste 3A
Elmwood Park, IL 60707
Phone (708) 456-2800

675 W North Ave
Ste 104
Melrose Park, IL 60160
Phone (708) 681-7695

675 W North Ave
Ste 301
Melrose Park, IL 60160
Phone (312) 852-2525

Practitioners & affiliated clinicians

Practitioners 5

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": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668902400000",
    "number": "1366003451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 104",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601622",
            "telephone_number": "773-208-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 409",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601624",
            "telephone_number": "773-208-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARISE PREFERRED PODIATRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2022-11-20",
        "certification_date": "2022-11-20",
        "status": "A",
        "authorized_official_last_name": "PARISE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER OF GROUP",
        "authorized_official_telephone_number": "773-208-4443",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2022; 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.