Organization Active NPI

Michael Pliskin DPM PC

  • Podiatrist
  • Great Neck, NY
National Provider Identifier
1467513473
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MICHAEL PLISKIN DPM PC
Practice address
75 S Middle Neck Rd
Ste LB
Great Neck, NY 11021-3445
Phone
(516) 487-8107
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Michael Pliskin, DPMNPI 1801891577
Title
DPM
Phone
(516) 487-8107

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

75 S Middle Neck Rd
Ste LB
Great Neck, NY 11021-3445

Mailing address

75 S Middle Neck Rd
Ste LB
Great Neck, NY 11021-3445
Phone (516) 487-8107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080211000083 NY Part B Supplier - Clinic/Group Practice 3870676174 Receives reassigned benefits from 3 practitioners
Practice locations: Great Neck, NY
O20100930100054 NY DME Supplier - Physician - Podiatry 3870676174 Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Locations

999 Franklin Ave
Garden City, NY 11530
Phone (516) 742-3404

75 S Middle Neck Rd
Great Neck, NY 11021
Phone (347) 395-9757

75 S Middle Neck Rd
Ste Lb
Great Neck, NY 11021
Phone (516) 487-8107

Practitioners & affiliated clinicians

Practitioners 3

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1467513473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S MIDDLE NECK RD",
            "address_2": "STE LB",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213445",
            "telephone_number": "516-487-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S MIDDLE NECK RD",
            "address_2": "STE LB",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213445",
            "telephone_number": "516-487-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL PLISKIN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "PLISKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "516-487-8107",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.