Organization Active NPI

Port Chester Podiatry PC

  • Podiatrist
  • Ny, NY
National Provider Identifier
1629190236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003801 Issued in NY
Legal business name
PORT CHESTER PODIATRY PC
Practice address
19 W 34TH Street
Suite 608
Ny, NY 10001
Phone
(212) 244-7670
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard M Shankman, DPM
Title
President
Phone
(718) 428-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X N003801 NY Primary

Addresses

Primary practice location

19 W 34TH Street
Suite 608
Ny, NY 10001

Mailing address

23003 67 Ave
Oakland Gardens, NY 11364
Phone (718) 428-1001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629190236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23003 67 AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "11364",
            "telephone_number": "718-428-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH STREET",
            "address_2": "SUITE 608",
            "city": "NY",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-244-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CHESTER PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANKMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-428-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.