101St Avenue Foot Care PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

101ST AVENUE FOOT CARE PC

Practice address

10214 101St Ave
Ozone Park, NY 11416

Phone

(718) 641-2100

Fax

(718) 641-2101

NPI assigned

Sep 16, 2006

Last updated

Aug 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph MicallefNPI 1467423152

Title

President

Phone

(718) 641-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Micallef, DPM

  • Foot Surgery Podiatrist
  • Ozone Park, NY
  • NPI 1467423152
  Medicare reassignment NPD Authorized official
• Edward Philip Meller, DPM

  • Podiatrist
  • Jersey City, NJ
  • NPI 1972591758
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1407952328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162622",
            "telephone_number": "718-641-2100",
            "fax_number": "718-641-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10214 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "11416",
            "telephone_number": "718-641-2100",
            "fax_number": "718-641-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "101ST AVENUE FOOT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "MICALLEF",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-641-2100"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "00240G",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 101 Imaging LLC (Acu Scan)
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• 101 Street Adult Daycare Inc
• 104 Opp Inc (Blue Lane Car Service)
• 106 Ozone PK RX Inc (Ozone Pharmacy)
• 1163 Nostrand Corp. (Quick RX)
• 2 Life Acupuncture, PC
• 74-17 101 Ave Pharmacy Inc.

• Podiatrist in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.