Organization Active NPI

West Babylon Foot Care, P.C.

  • Foot & Ankle Surgery Podiatrist
  • West Babylon, NY
National Provider Identifier
1376757443
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N004204 Issued in NY
Legal business name
WEST BABYLON FOOT CARE, P.C.
Practice address
229 Great East Neck Rd
West Babylon, NY 11704-7801
Phone
(631) 661-0073
Fax
(631) 587-7995
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Frank Bayerbach, DPM
Title
Podiatry
Phone
(631) 661-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N004204 NY Primary

Addresses

Primary practice location

229 Great East Neck Rd
West Babylon, NY 11704-7801

Mailing address

229 Great East Neck Rd
West Babylon, NY 11704-7801
Phone (631) 661-0073

Other identifiers 2

IdentifierTypeStateIssuer
01037094MedicaidNY
P1W141OtherNYMEDICARE GROUP #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1376757443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 GREAT EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047801",
            "telephone_number": "631-661-0073",
            "fax_number": "631-587-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 GREAT EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047801",
            "telephone_number": "631-661-0073",
            "fax_number": "631-587-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BABYLON FOOT CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "BAYERBACH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PODIATRY",
        "authorized_official_telephone_number": "631-661-0073",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01037094",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "P1W141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.