Active NPI
Nachum Pelcovitz, D.P.M.
- Podiatrist
- Lawrence, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N3598
- Practice address
- 183 Wildacre Ave
Lawrence, NY 11559-1414 - Phone
- (516) 239-8300
- Fax
- (516) 371-9418
- NPI assigned
- Jul 11, 2005
- Last updated
- Nov 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N3598 | NY | Primary |
| Podiatrist | 213E00000X | 25MD00179200 | NJ | |
| Podiatrist | 213E00000X | P00384 | CT |
Addresses
Primary practice location
183 Wildacre Ave
Lawrence, NY 11559-1414
Mailing address
183 Wildacre Ave
Lawrence, NY 11559-1414
Phone (516) 239-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0586102 | Medicaid | NJ | |
| 00792609 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000384 | CT | MD | Mental Health Counselor |
| 003598 | NY | MD | Optometrist |
| N3598 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Company LLC | Podiatrist | Current | Accepting new patients |
| Medical Director Services PC | Current | Accepting new patients | |
| Vainstein Foot and Ankle Care, PC | Podiatrist | Past | Accepting new patients |
| Vericare Behavioral Health of New Jersey, P.a. | Past | Accepting new patients |
Locations
930 Mill Hill Ter
Southport, CT 06890
Phone (203) 259-7894
43 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-3100
620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
301 Mill Rd
Ste U7
Hewlett, NY 11557
193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NJ
-
- Podiatrist
- Lawrence, NY
- NPI 1376628073
-
- Podiatrist
- Brooklyn, NY
- NPI 1366888497
-
- Clinical Psychologist
- San Diego, CA
- NPI 1700036381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194048000000",
"number": "1619975943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 WILDACRE AVE",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591414",
"telephone_number": "516-239-8300",
"fax_number": "516-371-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 WILDACRE AVE",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591414",
"telephone_number": "516-239-8300",
"fax_number": "516-371-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELCOVITZ",
"first_name": "NACHUM",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2007-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N3598",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00179200",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "P00384",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0586102",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00792609",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.