Active NPI
Ifaa Orthotics
- Foot & Ankle Surgery Podiatrist
- West Islip, NY
National Provider Identifier
1609565019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- IFAA ORTHOTICS
- Practice address
- 1111 Montauk Hwy Ste 100
West Islip, NY 11795-4910 - Phone
- (631) 422-4450
- NPI assigned
- May 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Ferraro
- Title
- DPM
- Phone
- (631) 422-4450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1111 Montauk Hwy Ste 100
West Islip, NY 11795-4910
Mailing address
1111 Montauk Hwy Ste 100
West Islip, NY 11795-4910
Phone (631) 422-4450
Other names 1
- ISLAND FOOT AND ANKLE
National Provider Directory
National Provider DirectoryLocations
1111 Montauk Hwy
Ste 100
West Islip, NY 11795
Phone (631) 376-4163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682985600000",
"number": "1609565019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MONTAUK HWY STE 100",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954910",
"telephone_number": "631-422-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MONTAUK HWY STE 100",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954910",
"telephone_number": "631-422-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IFAA ORTHOTICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A",
"authorized_official_last_name": "FERRARO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "631-422-4450"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ISLAND FOOT AND ANKLE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.