Organization Active NPI

Kalmar Family Podiatry LLP

  • Podiatrist
  • Huntington, NY
National Provider Identifier
1548799836
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
KALMAR FAMILY PODIATRY LLP
Practice address
62 Green Street
Huntington, NY 11743-6812
Phone
(631) 549-0955
Fax
(631) 424-1696
NPI assigned
Jun 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Eileen P Boege
Title
Office Manager
Phone
(631) 549-0955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NY Primary

Addresses

Primary practice location

62 Green Street
Huntington, NY 11743-6812

Mailing address

62 Green St
Huntington, NY 11743-6912
Phone (631) 549-0955

Other identifiers 2

IdentifierTypeStateIssuer
03723168MedicaidNY
00403636MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171020000364 NY Part B Supplier - Clinic/Group Practice 6709152697 Receives reassigned benefits from 4 practitioners
Practice locations: Huntington, NY
O20180326003036 NY DME Supplier - Physician - Podiatry 6709152697 Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Locations

62 Green St
Huntington, NY 11743
Phone (631) 549-0955

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548799836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 GREEN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436912",
            "telephone_number": "631-549-0955",
            "fax_number": "631-424-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 GREEN STREET",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436812",
            "telephone_number": "631-549-0955",
            "fax_number": "631-424-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALMAR FAMILY PODIATRY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOEGE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-549-0955"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03723168",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00403636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.