Organization Active NPI

Plainview Podiatry PLLC

  • Podiatrist
  • Woodbury, NY
National Provider Identifier
1508403080
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PLAINVIEW PODIATRY PLLC
Practice address
20 Crossways Park Dr N Ste 304
Woodbury, NY 11797-2007
Phone
(516) 681-8866
Fax
(516) 226-1213
NPI assigned
Dec 4, 2019
Reactivated
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Diane Scalesse
Title
Office Manager
Phone
(516) 681-8866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

20 Crossways Park Dr N Ste 304
Woodbury, NY 11797-2007

Mailing address

20 Crossways Park Dr N Ste 304
Woodbury, NY 11797-2007
Phone (516) 681-8666

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200428001467 NY DME Supplier - Physician - Podiatry 8123458452 Practice locations: Woodbury, NY
O20200916001484 NY Part B Supplier - Clinic/Group Practice 8123458452 Receives reassigned benefits from 5 practitioners
Practice locations: Woodbury, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1508403080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSWAYS PARK DR N STE 304",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972007",
            "telephone_number": "516-681-8666",
            "fax_number": "516-226-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSWAYS PARK DR N STE 304",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972007",
            "telephone_number": "516-681-8866",
            "fax_number": "516-226-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINVIEW PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "deactivation_date": "2024-04-03",
        "reactivation_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "SCALESSE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-681-8866"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.