Organization Active NPI

Astoria Advanced Footcare

  • Foot Surgery Podiatrist
  • Astoria, NY
National Provider Identifier
1447349055
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004560 Issued in NY
Legal business name
ASTORIA ADVANCED FOOTCARE
Practice address
3116 30TH Ave
Suite# 203
Astoria, NY 11102-1545
Phone
(718) 545-3338
Fax
(718) 626-3034
NPI assigned
Oct 12, 2006
Last updated
Jan 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Roger Adam Hans, D.P.M.NPI 1083698963
Title
President
Phone
(718) 545-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N004560 NY Primary

Addresses

Primary practice location

3116 30TH Ave
Suite# 203
Astoria, NY 11102-1545

Mailing address

3116 30TH Ave
Suite# 203
Astoria, NY 11102-1545
Phone (718) 545-3338

Other identifiers 1

IdentifierTypeStateIssuer
01371860MedicaidNY

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1447349055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 30TH AVE",
            "address_2": "SUITE# 203",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021545",
            "telephone_number": "718-545-3338",
            "fax_number": "718-626-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 30TH AVE",
            "address_2": "SUITE# 203",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021545",
            "telephone_number": "718-545-3338",
            "fax_number": "718-626-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA ADVANCED FOOTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "HANS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-545-3338",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01371860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.