Organization Active NPI

Fifth Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Cedarhurst, NY
National Provider Identifier
1629667175
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
FIFTH PODIATRY LLC
Practice address
551 Central Ave Apt 21a
Cedarhurst, NY 11516-2118
Phone
(516) 569-3009
Fax
(516) 569-3002
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Karim BadawyNPI 1235472770
Title
DPM
Phone
(347) 421-8563

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
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

551 Central Ave Apt 21a
Cedarhurst, NY 11516-2118

Mailing address

551 Central Ave Apt 21a
Cedarhurst, NY 11516-2118
Phone (516) 569-3009

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1629667175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 CENTRAL AVE APT 21A",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162118",
            "telephone_number": "516-569-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 CENTRAL AVE APT 21A",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162118",
            "telephone_number": "516-569-3009",
            "fax_number": "516-569-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "BADAWY",
        "authorized_official_first_name": "KARIM",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "347-421-8563"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.