NPIMap

Organization Active NPI

Great Neck Podiatry Associates

  • Podiatrist
  • Great Neck, NY
National Provider Identifier
1366545501
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N4806 Issued in NY
Legal business name
GREAT NECK PODIATRY ASSOCIATES
Practice address
29 Barstow Rd
Suite 101
Great Neck, NY 11021-2209
Phone
(516) 829-1028
Fax
(516) 829-3530
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Lance L Greiff, DPM
Title
Owner
Phone
(516) 829-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X N4806 NY Primary

Addresses

Primary practice location

29 Barstow Rd
Suite 101
Great Neck, NY 11021-2209

Mailing address

29 Barstow Rd
Suite 101
Great Neck, NY 11021-2209
Phone (516) 829-1028

Other identifiers 1

IdentifierTypeStateIssuer
01630666MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Marc a Brenner DPM2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1366545501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD",
            "address_2": "SUITE 101",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-829-1028",
            "fax_number": "516-829-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD",
            "address_2": "SUITE 101",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-829-1028",
            "fax_number": "516-829-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK PODIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "GREIFF",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-829-1028",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N4806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01630666",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.