Organization Active NPI

Gerard Furst and Marjorie Ravitz DPM PC

  • Podiatrist
  • Smithtown, NY
National Provider Identifier
1386724516
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GERARD FURST AND MARJORIE RAVITZ DPM PC
Doing business as
North Shore Podiatry Group
Practice address
260 Middle Country Road
Ste 104
Smithtown, NY 11787-2982
Phone
(631) 724-1166
Fax
(631) 724-4130
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Marjorie Ravitz, DPMNPI 1255421442
Title
Partner
Phone
(631) 724-1166

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: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

260 Middle Country Road
Ste 104
Smithtown, NY 11787-2982

Mailing address

260 Middle Country Road
Ste 104
Smithtown, NY 11787
Phone (631) 724-1166

Other identifiers 2

IdentifierTypeStateIssuer
CJ0020OtherNYRR MEDICARE
0044604OtherNYGHI

Other names 1

  • North Shore Podiatry Group Doing business as

National Provider Directory

National Provider Directory

Locations

5225 Route 347
Ste 41
Port Jefferson Station, NY 11776

Practitioners & affiliated clinicians

Practitioners 4

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1386724516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY ROAD",
            "address_2": "STE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-724-1166",
            "fax_number": "631-724-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY ROAD",
            "address_2": "STE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-724-1166",
            "fax_number": "631-724-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD FURST AND MARJORIE RAVITZ DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "RAVITZ",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-724-1166",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ0020",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0044604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.