Organization Active NPI

Oms Podiatry Services PC

  • Podiatrist
  • East Elmhurst, NY
National Provider Identifier
1629457718
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005924 Issued in NY
Legal business name
OMS PODIATRY SERVICES PC
Practice address
10030 Ditmars Blvd RM 325
East Elmhurst, NY 11369-1333
Phone
(718) 393-7705
Fax
(718) 446-4547
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Kelvin OgelleNPI 1114067337
Title
DPM
Phone
(718) 399-7705

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N005924 NY Primary

Addresses

Primary practice location

10030 Ditmars Blvd RM 325
East Elmhurst, NY 11369-1333

Mailing address

6 Oak Crest Dr
Highland, NY 12528-2708
Phone (718) 393-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150811005278 NY Part B Supplier - Clinic/Group Practice 7315252913 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Forest Hills, NY; Holmes, NY; Flushing, NY; Huntington, NY; Jackson Heights, NY; Middletown, NY; Monsey, NY…

National Provider Directory

National Provider Directory

Locations

563 E Tremont Ave
#B
Bronx, NY 10457

2720 Surf Ave
Brooklyn, NY 11224
Phone (718) 230-4844

10030 Ditmars Blvd
Rm 325
East Elmhurst, NY 11369

100 Southern Blvd
Nesconset, NY 11767
Phone (631) 361-8100

Practitioners & affiliated clinicians

Practitioners 2

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": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1629457718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OAK CREST DR",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282708",
            "telephone_number": "718-393-7705",
            "fax_number": "718-446-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 DITMARS BLVD RM 325",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691333",
            "telephone_number": "718-393-7705",
            "fax_number": "718-446-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMS PODIATRY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "OGELLE",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "718-399-7705"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.