Organization Active NPI

Mamaroneck Foot Care

  • Podiatrist
  • Mamaroneck, NY
National Provider Identifier
1386729564
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003565-1 Issued in NY
Legal business name
MAMARONECK FOOT CARE
Practice address
1600 Harrison Ave
Suite 206
Mamaroneck, NY 10543-3145
Phone
(914) 698-2025
Fax
(914) 698-1276
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lawrence Handler
Title
Owner
Phone
(914) 698-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N003565-1 NY Primary

Addresses

Primary practice location

1600 Harrison Ave
Suite 206
Mamaroneck, NY 10543-3145

Mailing address

1600 Harrison Ave
Suite 206
Mamaroneck, NY 10543-3145

Other identifiers 1

IdentifierTypeStateIssuer
00789042MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386729564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE",
            "address_2": "SUITE 206",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE",
            "address_2": "SUITE 206",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433145",
            "telephone_number": "914-698-2025",
            "fax_number": "914-698-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMARONECK FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANDLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-698-2025"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003565-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00789042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.