Active NPI
Port Chester Podiatry PC
- Podiatrist
- Ny, NY
National Provider Identifier
1629190236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003801
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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 DirectoryNPI 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.