Organization Active NPI

Shelter Island Podiatry

  • Podiatrist
  • Shelter Island, NY
National Provider Identifier
1447432935
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SHELTER ISLAND PODIATRY
Practice address
2A Hudson Avenue
# 1023
Shelter Island, NY 11964-1023
Phone
(631) 749-2222
Fax
(631) 749-4033
NPI assigned
Nov 27, 2007
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Robin Ross, DPMNPI 1720066285
Title
Partner
Phone
(631) 749-2222

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 1

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

Addresses

Primary practice location

2A Hudson Avenue
# 1023
Shelter Island, NY 11964-1023

Mailing address

PO Box 1023
2A Hudson Avenue
Shelter Island, NY 11964-1023
Phone (631) 749-2222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1447432935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "address_2": "2A HUDSON AVENUE",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119641023",
            "telephone_number": "631-749-2222",
            "fax_number": "631-749-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2A HUDSON AVENUE",
            "address_2": "# 1023",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119641023",
            "telephone_number": "631-749-2222",
            "fax_number": "631-749-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTER ISLAND PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-749-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelter Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.