Organization Active NPI

Foothurt Podiatry PC

  • Foot Surgery Podiatrist
  • Wyandanch, NY
National Provider Identifier
1447620430
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005136 Issued in NY
Legal business name
FOOTHURT PODIATRY PC
Practice address
50 S 24TH St
Wyandanch, NY 11798-2922
Phone
(631) 255-7234
Fax
(631) 920-5911
NPI assigned
Oct 2, 2015
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Dr. Melvin HurtNPI 1275580664
Title
President
Phone
(631) 255-7234

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
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X N005136 NY Primary

Addresses

Primary practice location

50 S 24TH St
Wyandanch, NY 11798-2922

Mailing address

50 S 24TH St
Wyandanch, NY 11798-2922
Phone (631) 255-7234

National Provider Directory

National Provider Directory
Tax ID family
Foothurt Podiatry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1447620430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S 24TH ST",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982922",
            "telephone_number": "631-255-7234",
            "fax_number": "631-920-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S 24TH ST",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982922",
            "telephone_number": "631-255-7234",
            "fax_number": "631-920-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHURT PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-255-7234",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandanch, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.