Tristate Podiatry P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003598-1 Issued in NY

Legal business name

TRISTATE PODIATRY P.C.

Practice address

183 Wildacre Ave
Lawrence, NY 11559-1414

Phone

(516) 239-8300

Fax

(516) 371-9418

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nachum Pelcovitz, D.P.M.

Title

President

Phone

(516) 239-8300

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vaishnavi Vaddigiri, M.D.

  • Psychiatry Physician
  • Smithtown, NY
  • NPI 1053449256
  NPD (past)
• Dawn A Yamashita, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Brooklyn, NY
  • NPI 1740226448
  NPD (past)
• Joshua David Grill, D.P.M.

  • Foot Surgery Podiatrist
  • Freehold, NJ
  • NPI 1609988336
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1376628073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 WILDACRE AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591414",
            "telephone_number": "516-239-8300",
            "fax_number": "516-371-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 WILDACRE AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591414",
            "telephone_number": "516-239-8300",
            "fax_number": "516-371-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "PELCOVITZ",
        "authorized_official_first_name": "NACHUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-239-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003598-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00792609",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9073205",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071917",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Marion and Aaron Gural JCC Inc
• The Special Children Center
• Thomas J. Joyce, D.O., LLC
• Jordana Beth Topp, DMD
• Town RX Inc
• Phyllis Cima Tropp, LCSW-R/CASAC
• Deborah Twersky, RN
• Hinda Twersky, SLP
• Yitzhak David Twersky, M.D.
• Faigy M Unger, M.S. CCC-SLP

• Podiatrist in Lawrence, NY
• Providers in Lawrence, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.