Long Island Foot Specialist P C

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N0059441 Issued in NY

Legal business name

LONG ISLAND FOOT SPECIALIST P C

Practice address

481 W Montauk Hwy
Lindenhurst, NY 11757-5528

Phone

(631) 226-3668

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Todd Adam Levenstien, DPMNPI 1649273103

Title

Owner

Phone

(631) 226-3668

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• LONG ISLAND FOOT SPECIALIST P C Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Adam Levenstien, D.P.M.

  • Foot Surgery Podiatrist
  • Lindenhurst, NY
  • NPI 1649273103
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Anna Friscia, DPM

  • Podiatrist
  • Oceanside, NY
  • NPI 1780670349
  Medicare reassignment Care Compare group NPD
• Ruth Vitaglione, D.C.

  • Chiropractor
  • Manorville, NY
  • NPI 1780781484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709942400000",
    "number": "1629166483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117460169",
            "telephone_number": "631-226-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 W MONTAUK HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575528",
            "telephone_number": "631-226-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND FOOT SPECIALIST P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "LEVENSTIEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-226-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N0059441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PIN - LIFS",
            "identifier": "PJ108PEA81",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PIN - TODD L.",
            "identifier": "PJ1081",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN - LIFS",
            "identifier": "PEWA81",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG ISLAND FOOT SPECIALIST P C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot Surgery Podiatrist in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.