Shadow Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

006679 Issued in NY

Legal business name

SHADOW PODIATRY

Practice address

26 Broadway
New York, NY 10004-1703

Phone

(646) 551-6663

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Basalely, DPMNPI 1275890063

Title

Doctor of Podiatric Medicine

Phone

(646) 551-6663

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Basalely, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1275890063
  NPD (past) Authorized official

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1396113692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14431 70TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041703",
            "telephone_number": "646-551-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOW PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "BASALELY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "646-551-6663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Shadan
• Shervin Shadianloo, M.D.
• Richard Shadick, PH.D.
• Lindsay Shadle, DPT
• Suhail Shadoud, D.D.S.
• Natalie Shadrin
• Ahmed Elsayed Shady
• Bridgit Shaefer
• Aria Shafai, MD
• Valentyna Shafar

• Foot & Ankle Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.