Organization Active NPI

NJ Foot Care of Flushing PC

  • Podiatrist
  • Ridgefield, NJ
National Provider Identifier
1386021616
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD002497 Issued in NJ
Legal business name
NJ FOOT CARE OF FLUSHING PC
Practice address
725 Grand Ave Ste 101102
Ridgefield, NJ 07657-1045
Phone
(718) 939-9858
Fax
(718) 939-9865
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Dr. Yoon S Yi, D.P.M.NPI 1316967466
Title
President
Phone
(718) 939-9858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MD002497 NJ Primary

Addresses

Primary practice location

725 Grand Ave Ste 101102
Ridgefield, NJ 07657-1045

Mailing address

725 Grand Ave Ste 101102
Ridgefield, NJ 07657-1045
Phone (201) 840-8105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150710000075 NJ Part B Supplier - Clinic/Group Practice 3375855935 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgefield, NJ
O20151015000435 NJ DME Supplier - Physician - Podiatry 3375855935 Practice locations: Ridgefield, NJ

National Provider Directory

National Provider Directory

Locations

725 Grand Ave
Ste 101102
Ridgefield, NJ 07657
Phone (718) 939-9858

725 Grand Ave
#101102
Ridgefield, NJ 07657

725 Grand Ave
Unit 101102
Ridgefield, NJ 07657
Phone (201) 840-8105

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": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1386021616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GRAND AVE STE 101102",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571045",
            "telephone_number": "201-840-8105",
            "fax_number": "201-840-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GRAND AVE STE 101102",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571045",
            "telephone_number": "718-939-9858",
            "fax_number": "718-939-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ FOOT CARE OF FLUSHING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "YOON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-939-9858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.