Organization Active NPI

Family Podiatry Care, PC

  • Podiatrist
  • N Bellmore, NY
National Provider Identifier
1508032970
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
005780 Issued in NY
Legal business name
FAMILY PODIATRY CARE, PC
Practice address
1029 Bellmore Rd
N Bellmore, NY 11710-3718
Phone
(516) 679-4636
Fax
(516) 679-8239
NPI assigned
May 5, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Thomas George, MDNPI 1457334583
Title
President
Phone
(212) 876-8590

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
Podiatrist 213E00000X 005780 NY Primary

Addresses

Primary practice location

1029 Bellmore Rd
N Bellmore, NY 11710-3718

Mailing address

13876 Queens Blvd FL 1
Briarwood, NY 11435-2930
Phone (718) 850-6345

Other identifiers 1

IdentifierTypeStateIssuer
02176718MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131018001159 TX Part B Supplier - Clinic/Group Practice 3173672599 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

10925 Estate Ln
Ste 216
Dallas, TX 75238
Phone (214) 980-8908

Practitioners & affiliated clinicians

Practitioners 2

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": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508032970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13876 QUEENS BLVD FL 1",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352930",
            "telephone_number": "718-850-6345",
            "fax_number": "718-559-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 BELLMORE RD",
            "city": "N BELLMORE",
            "state": "NY",
            "postal_code": "117103718",
            "telephone_number": "516-679-4636",
            "fax_number": "516-679-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PODIATRY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-876-8590",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02176718",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.