Organization Active NPI

Sunrise Podiatry PC

  • Podiatrist
  • Valley Stream, NY
National Provider Identifier
1417472143
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004692 Issued in NY
Legal business name
SUNRISE PODIATRY PC
Practice address
260 W Sunrise Hwy
Valley Stream, NY 11581-1011
Phone
(516) 791-7668
NPI assigned
Aug 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
Marc Schumann
Title
DPM
Phone
(516) 410-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N004692 NY Primary

Addresses

Primary practice location

260 W Sunrise Hwy
Valley Stream, NY 11581-1011

Mailing address

260 W Sunrise Hwy
Valley Stream, NY 11581-1011

National Provider Directory

National Provider Directory

Locations

260 W Sunrise Hwy
Ste 111
Valley Stream, NY 11581
Phone (516) 791-7688

260 W Sunrise Hwy
Ste 11
Valley Stream, NY 11581
Phone (516) 791-7688

Practitioners & affiliated clinicians

Practitioners 1

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": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1417472143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811011",
            "telephone_number": "516-791-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "SCHUMANN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "516-410-3668"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.