Footcare Services of Lic

Primary specialty

PodiatristTaxonomy code 213E00000X

License

004438 Issued in NY

Legal business name

FOOTCARE SERVICES OF LIC

Practice address

70 Glen St
Suite 380
Glen Cove, NY 11542-2855

Phone

(516) 759-2424

Fax

(516) 759-6627

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Joseph Weber Jr., DPMNPI 1306946991

Title

Podiatrist

Phone

(516) 379-8935

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Joseph Weber Jr., D.P.M.

  • Podiatrist
  • Glen Cove, NY
  • NPI 1306946991
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457565038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 WEBSTER AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662667",
            "telephone_number": "516-379-8935",
            "fax_number": "516-759-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN ST",
            "address_2": "SUITE 380",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422855",
            "telephone_number": "516-759-2424",
            "fax_number": "516-759-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTCARE SERVICES OF LIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "516-379-8935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "004438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-CBP",
            "identifier": "56848",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Finn-Siracusa, D.C.
• Joseph A. Fioretti, DDS
• Louis Flancbaum, MD
• Valentina Tereza Fleece, D.D.S
• Odalys Flores
• Forest Manor Care Center Inc
• Marisa Formica, MD
• Joana Forsea, DDS
• Fortify Medical Devices & Supplies
• Frederick Ruffen

• Podiatrist in Glen Cove, NY
• Providers in Glen Cove, 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 22, 2020; 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.