Organization Active NPI

Ifaa Orthotics

  • Foot & Ankle Surgery Podiatrist
  • West Islip, NY
National Provider Identifier
1609565019
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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

Updated by the provider on May 2, 2023

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.