Organization Active NPI

Great Neck Podiatry Associates

  • Foot & Ankle Surgery Podiatrist
  • Great Neck, NY
National Provider Identifier
1609937648
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GREAT NECK PODIATRY ASSOCIATES
Practice address
29 Barstow Rd
101
Great Neck, NY 11021-2209
Phone
(516) 829-1028
Fax
(516) 829-3530
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Lance I Greiff II, DPMNPI 1477614501
Title
Owner
Phone
(516) 829-1028

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

29 Barstow Rd
101
Great Neck, NY 11021-2209

Mailing address

29 Barstow Rd
101
Great Neck, NY 11021-2209
Phone (516) 829-1028

Other identifiers 1

IdentifierTypeStateIssuer
01630666MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930060706 NY DME Supplier - Physician - Podiatry 0749496073 Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory
Tax ID family
Marc a Brenner DPM2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

29 Barstow Rd
Ste 101
Great Neck, NY 11021
Phone (516) 482-0347

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1609937648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD",
            "address_2": "101",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-829-1028",
            "fax_number": "516-829-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD",
            "address_2": "101",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-829-1028",
            "fax_number": "516-829-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK PODIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "GREIFF",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-829-1028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01630666",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.