Active NPI
Palisades Podiatry Associates LLP
- Foot & Ankle Surgery Podiatrist
- Pomona, NY
National Provider Identifier
1528189503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N002983
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barry Schoenberg, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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, NJ
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
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.