Organization Active NPI

Terry Robertson DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1366973232
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006682 Issued in NY
Legal business name
TERRY ROBERTSON DPM LLC
Practice address
315 E 86TH St
Ste 1Ge
New York, NY 10028-4714
Phone
(212) 369-9494
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Dr. Terry Leroy Robertson, DPM
Title
President
Phone
(212) 369-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 006682 NY Primary

Addresses

Primary practice location

315 E 86TH St
Ste 1Ge
New York, NY 10028-4714

Mailing address

315 E 86TH St
Ste 1Ge
New York, NY 10028-4714
Phone (212) 369-9494

National Provider Directory

National Provider Directory

Locations

315 E 86th St
Ste 1GE
New York, NY 10028
Phone (212) 369-9494

Practitioners & affiliated clinicians

Practitioners 1

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": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1366973232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 86TH ST",
            "address_2": "STE 1GE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284714",
            "telephone_number": "212-369-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 86TH ST",
            "address_2": "STE 1GE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284714",
            "telephone_number": "212-369-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY ROBERTSON DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-369-9494",
        "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": "006682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.