Active NPI
Prohealth Care Associates, LLP
- Foot & Ankle Surgery Podiatrist
- New York, NY
National Provider Identifier
1407356959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PROHEALTH CARE ASSOCIATES, LLP
- Practice address
- 380 2ND Ave RM 303
New York, NY 10010-5639 - Phone
- (212) 955-1500
- NPI assigned
- Feb 20, 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
- David J Cooper, MD
- Title
- Chief Executive Officer
- Phone
- (516) 622-6196
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
380 2ND Ave RM 303
New York, NY 10010-5639
Mailing address
2800 Marcus Ave
New Hyde Park, NY 11042-1113
Other practice location 1
1560 Broadway Ste 705
New York, NY 10036-2519
Phone (212) 757-8266
Other practice location 2
111 Broadway Rm 703
New York, NY 10006-1968
Phone (212) 608-5710
Other names 1
- Gramercy Park Podiatry
National Provider Directory
National Provider DirectoryLocations
111 Broadway
Rm 703
New York, NY 10006
Phone (212) 608-5710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1407356959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MARCUS AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 2ND AVE RM 303",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105639",
"telephone_number": "212-955-1500"
}
],
"practiceLocations": [
{
"address_1": "1560 Broadway Ste 705",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100362519",
"country_code": "US",
"telephone_number": "212-757-8266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Broadway Rm 703",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100061968",
"country_code": "US",
"telephone_number": "212-608-5710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROHEALTH CARE ASSOCIATES, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-20",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "516-622-6196",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gramercy Park Podiatry",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Gramercy Park Podiatry",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.