Organization Active NPI

Home Foot Care PC

  • Podiatric Clinic/Center
  • West Hempstead, NY
National Provider Identifier
1609185792
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
N004793 Issued in NY
Legal business name
HOME FOOT CARE PC
Practice address
659 Euclid Ave
West Hempstead, NY 11552-3534
Phone
(718) 961-5320
Fax
(718) 961-5320
NPI assigned
Oct 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Dov Rubenstein, D.P.M.NPI 1144215948
Title
President
Phone
(718) 961-5320

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
Podiatric Clinic/Center 261QP1100X N004793 NY Primary

Addresses

Primary practice location

659 Euclid Ave
West Hempstead, NY 11552-3534

Mailing address

659 Euclid Ave
West Hempstead, NY 11552-3534
Phone (718) 961-5320

Other identifiers 1

IdentifierTypeStateIssuer
01267550MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000526 NY Part B Supplier - Clinic/Group Practice 8820279318 Receives reassigned benefits from 1 practitioner
Practice locations: West Hempstead, NY

National Provider Directory

National Provider Directory

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": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1609185792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 EUCLID AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523534",
            "telephone_number": "718-961-5320",
            "fax_number": "718-961-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 EUCLID AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523534",
            "telephone_number": "718-961-5320",
            "fax_number": "718-961-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FOOT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "DOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-961-5320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "N004793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01267550",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.