Active NPI
West Babylon Foot Care, P.C.
- Foot & Ankle Surgery Podiatrist
- West Babylon, NY
National Provider Identifier
1376757443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N004204
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01037094 | Medicaid | NY | |
| P1W141 | Other | NY | MEDICARE GROUP # |
National Provider Directory
National Provider DirectoryNPI 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.