Michael J Skonieczny DPM LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

006630-1 Issued in NY

Legal business name

MICHAEL J SKONIECZNY DPM LLC

Practice address

1200 Waters PL
Suite M101
Bronx, NY 10461-2728

Phone

(718) 863-0244

Fax

(718) 863-0246

NPI assigned

Apr 6, 2015

Organization subpart

No

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

Authorized official

Name

Michael Skonieczny, DPM

Title

Owner

Phone

(914) 474-4638

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1538554571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 COLUMBUS AVE",
            "address_2": "APT 2A",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105732534",
            "telephone_number": "914-474-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE M101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-863-0244",
            "fax_number": "718-863-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J SKONIECZNY DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "SKONIECZNY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-474-4638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006630-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Miceli, DO
• Katherine Micetich, LMSW
• Michael a Pisacano MD PC (Pisacano Eye Surgery and Laser Specialists)
• Michael Aghelian DDS PLLC
• Michael Antony M.D., P.C.
• Michael Rabinowitz MD PC
• Kisalyn Dawn Michael, LCSW
• Samuel Michael, RN, FNP
• W. Roy Michaelis, MD
• Michael Michaels

• Foot & Ankle Surgery Podiatrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.