Active NPI
Mobile Podiatry PC
- Podiatrist
- Jamaica, NY
National Provider Identifier
1396227617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- MOBILE PODIATRY PC
- Practice address
- 14845 Hillside Ave FL 1
Jamaica, NY 11435-3308 - Phone
- (516) 476-1641
- NPI assigned
- Sep 4, 2018
- 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
- M Nayeem
- Title
- DPM
- Phone
- (516) 476-1641
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Podiatric Clinic/Center | 261QP1100X | 005189 | NY |
Addresses
Primary practice location
14845 Hillside Ave FL 1
Jamaica, NY 11435-3308
Mailing address
14845 Hillside Ave FL 1
Jamaica, NY 11435-3308
Phone (516) 476-1641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14845 Hillside Ave
Fl 1
Jamaica, NY 11435
Phone (516) 476-1641
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Jamaica, NY
- NPI 1013441252
-
- Podiatrist
- Jamaica, NY
- NPI 1437776572
-
- Podiatrist
- Bronx, NY
- NPI 1932842374
-
- Podiatrist
- Staten Island, NY
- NPI 1376004507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1396227617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14845 HILLSIDE AVE FL 1",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114353308",
"telephone_number": "516-476-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14845 HILLSIDE AVE FL 1",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114353308",
"telephone_number": "516-476-1641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE PODIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-04",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "NAYEEM",
"authorized_official_first_name": "M",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "516-476-1641"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "NY",
"license": "005189",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.