Elizabeth Ann Haeni DPM PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

ELIZABETH ANN HAENI DPM PC

Practice address

50 Meadow Glen Rd
Northport, NY 11768-2711

Phone

(631) 262-0849

NPI assigned

Dec 18, 2024

Last updated

Dec 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Ann Haeni, DPMNPI 1760549836

Title

President

Phone

(631) 335-1941

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Elizabeth A Haeni, DPM

  • Podiatrist
  • Northport, NY
  • NPI 1760549836
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1538976907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEADOW GLEN RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682711",
            "telephone_number": "631-262-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEADOW GLEN RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682711",
            "telephone_number": "631-262-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH ANN HAENI DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "HAENI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-335-1941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce James Edington, LCSW-R
• Alex Egglinger
• Ejm Prestige Enterprise, LLC
• Andrew Michael Ekelund, PT
• Basem Sadek Elfaham, M.D.
• Elizabeth Haeni DPM
• Tracey E Enright, MT-BC
• Marina Erato
• Janet Ellen Eschen, PH.D.
• Joan E Ettinger, CASAC

• Podiatric Clinic/Center in Northport, NY
• Providers in Northport, NY by specialty
• Podiatric Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.