Organization Active NPI

Palisades Podiatry Associates LLP

  • Foot & Ankle Surgery Podiatrist
  • Pomona, NY
National Provider Identifier
1528189503
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N002983 Issued in NY
Legal business name
PALISADES PODIATRY ASSOCIATES LLP
Practice address
11 Medical Park Drive
Suite 206
Pomona, NY 10970
Phone
(845) 362-0100
Fax
(845) 362-0112
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Dr. Barry Schoenberg, DPMNPI 1104833078
Title
Doctor Owner
Phone
(845) 362-0100

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N002983 NY Primary

Addresses

Primary practice location

11 Medical Park Drive
Suite 206
Pomona, NY 10970

Mailing address

11 Medical Park Drive
Suite 206
Pomona, NY 10970
Phone (845) 362-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090616000695 NY Part B Supplier - Clinic/Group Practice 9638229479 Receives reassigned benefits from 2 practitioners
Practice locations: Pomona, NY
O20100820000214 NJ Part B Supplier - Clinic/Group Practice 9638229479 Receives reassigned benefits from 2 practitioners
Practice locations: Matwah, NJ
O20120725000961 NY DME Supplier - Physician - Podiatry 9638229479 Practice locations: Pomona, NY

National Provider Directory

National Provider Directory

Locations

11 Medical Park Dr
Ste 206
Pomona, NY 10970
Phone (845) 362-0100

19 Old Tappan Rd
Tappan, NY 10983
Phone (845) 359-1200

Practitioners & affiliated clinicians

Practitioners 2

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1528189503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DRIVE",
            "address_2": "SUITE 206",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "845-362-0100",
            "fax_number": "845-362-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DRIVE",
            "address_2": "SUITE 206",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "845-362-0100",
            "fax_number": "845-362-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES PODIATRY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "SCHOENBERG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "845-362-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N002983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.