Amityville Podiatry Associates PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003837 Issued in NY

Legal business name

AMITYVILLE PODIATRY ASSOCIATES PC

Practice address

77 Broadway
Amityville, NY 11701

Phone

(631) 691-6060

Fax

(631) 691-0920

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward Leonard Damico, DPM

Title

Podiatrist President

Phone

(631) 691-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Thomas Joseph McCoy, LCSW

  • Clinical Social Worker
  • Massapequa, NY
  • NPI 1063488377
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1497859664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BROADWAY",
            "address_2": "SUITE 6",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012785",
            "telephone_number": "631-691-6060",
            "fax_number": "631-691-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "631-691-6060",
            "fax_number": "631-691-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITYVILLE PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PODIATRIST PRESIDENT",
        "authorized_official_telephone_number": "631-691-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00907960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amityville Medical Care P.C.
• Amityville Orthodontics P.C.
• Amityville Psychotherapy Mental Health Counseling PLLC
• Amityville Pulmonology PLLC
• Amityville Ufsd
• Agnes Magdalena Ammirati, LMSW
• Joseph Amnawah, PMHNP-BC

• Podiatrist in Amityville, NY
• Providers in Amityville, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.