Little Neck Foot Care

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

N004824-1 Issued in NY

Legal business name

LITTLE NECK FOOT CARE

Practice address

5444 Little Neck Pkwy
Flushing, NY 11362-2211

Phone

(718) 631-5783

NPI assigned

Mar 13, 2008

Organization subpart

No

Name

Dr. Bernadette Pupilla, DPM

Title

Owner

Phone

(718) 631-5783

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2008.

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1497926869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 LITTLE NECK PKWY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113622211",
            "telephone_number": "718-631-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5444 LITTLE NECK PKWY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113622211",
            "telephone_number": "718-631-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE NECK FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "PUPILLA",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-631-5783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N004824-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6200801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P904455",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01740894",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Flushing, NY
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.