Organization Active NPI

Great Strides Podiatry, P.C.

Doing business as Forest Hills Podiatric Medical Group

  • Foot & Ankle Surgery Podiatrist
  • Forest Hills, NY
National Provider Identifier
1558784280
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006236 Issued in NY
Legal business name
GREAT STRIDES PODIATRY, P.C.
Doing business as
Forest Hills Podiatric Medical Group
Practice address
7111 110TH St
Forest Hills, NY 11375-4851
Phone
(718) 520-8811
Fax
(718) 520-6646
NPI assigned
Jan 31, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Lekeisha Y George, DPMNPI 1245482983
Title
Owner
Phone
(917) 593-4771

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 Podiatrist 213ES0103X N006236 NY Primary

Addresses

Primary practice location

7111 110TH St
Forest Hills, NY 11375-4851

Mailing address

7111 110TH St
Forest Hills, NY 11375-4851
Phone (718) 520-8811

Other names 1

  • Forest Hills Podiatric Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141204001836 NY Part B Supplier - Clinic/Group Practice 5294057030 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1558784280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 110TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754851",
            "telephone_number": "718-520-8811",
            "fax_number": "718-520-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 110TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754851",
            "telephone_number": "718-520-8811",
            "fax_number": "718-520-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT STRIDES PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "LEKEISHA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-593-4771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Hills Podiatric Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.