Organization Active NPI

New York Podiatric Medicine & Surgery PC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1467638551
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
003866 Issued in NY
Legal business name
NEW YORK PODIATRIC MEDICINE & SURGERY PC
Practice address
315 Madison Avenue
Suite 2301
New York, NY 10017
Phone
(212) 867-2500
Fax
(212) 867-3845
NPI assigned
Jan 18, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Andrew R. Glass, DPMNPI 1073622114
Title
President/Owner
Phone
(212) 867-2500

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 & Ankle Surgery Podiatrist 213ES0103X 003866 NY Primary

Addresses

Primary practice location

315 Madison Avenue
Suite 2301
New York, NY 10017

Mailing address

315 Madison Avenue
Suite 2301
New York, NY 10017
Phone (212) 867-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171012001863 NY Part B Supplier - Clinic/Group Practice 1355616624 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

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": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467638551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MADISON AVENUE",
            "address_2": "SUITE 2301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "212-867-2500",
            "fax_number": "212-867-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVENUE",
            "address_2": "SUITE 2301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "212-867-2500",
            "fax_number": "212-867-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PODIATRIC MEDICINE & SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "212-867-2500",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "003866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.