NPIMap

Organization Active NPI

Dr. John J. Hickey, D.P.M., P.L.L.C.

  • Foot Surgery Podiatrist
  • Levittown, NY
National Provider Identifier
1396895017
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
DR. JOHN J. HICKEY, D.P.M., P.L.L.C.
Practice address
2870 Hempstead Tpke Ste 103
Levittown, NY 11756-1341
Phone
(516) 735-4545
Fax
(516) 735-2652
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. John J Hickey, DPMNPI 1043376189
Title
Officer
Phone
(516) 735-4545

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2870 Hempstead Tpke Ste 103
Levittown, NY 11756-1341

Mailing address

2870 Hempstead Tpke Ste 103
Levittown, NY 11756-1341
Phone (516) 735-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000209 NY Part B Supplier - Clinic/Group Practice 5991737363 Receives reassigned benefits from 1 practitioner
Practice locations: Levittown, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dr John J Hickey DPM PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1396895017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 HEMPSTEAD TPKE STE 103",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561341",
            "telephone_number": "516-735-4545",
            "fax_number": "516-735-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 HEMPSTEAD TPKE STE 103",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561341",
            "telephone_number": "516-735-4545",
            "fax_number": "516-735-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN J. HICKEY, D.P.M., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "516-735-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.