Organization Active NPI

Twin County Podiatry PC

  • Durable Medical Equipment & Medical Supplies
  • Freeport, NY
National Provider Identifier
1609943117
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TWIN COUNTY PODIATRY PC
Practice address
33 N Ocean Ave Ste 4
Freeport, NY 11520-3049
Phone
(516) 378-0184
Fax
(516) 378-0294
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Scott Evan Herbert, DPMNPI 1124041819
Title
President
Phone
(516) 378-0184

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N006079 NY
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

33 N Ocean Ave Ste 4
Freeport, NY 11520-3049

Mailing address

33 N Ocean Ave Ste 4
Freeport, NY 11520-3049
Phone (516) 378-0184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061204000127 NY Part B Supplier - Clinic/Group Practice 0042219958 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY; Woodside, NY; New York, NY; Long Beach, NY; Great Neck, NY; Freeport, NY; Elmhurst, NY
O20100930097754 NY DME Supplier - Physician - Podiatry 0042219958 Practice locations: Freeport, NY

National Provider Directory

National Provider Directory
Tax ID family
Twin County Podiatry PC2 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

71 Metropolitan Oval
Bronx, NY 10462
Phone (718) 829-6436

33 N Ocean Ave
Ste 4
Freeport, NY 11520
Phone (516) 378-0184

49 Church St
Freeport, NY 11520
Phone (516) 378-0184

5316 Roosevelt Ave
Ste 3
Woodside, NY 11377
Phone (718) 672-0600

Practitioners & affiliated clinicians

Practitioners 4

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1609943117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N OCEAN AVE STE 4",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203049",
            "telephone_number": "516-378-0184",
            "fax_number": "516-378-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N OCEAN AVE STE 4",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203049",
            "telephone_number": "516-378-0184",
            "fax_number": "516-378-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN COUNTY PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-378-0184",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006079",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.