Advanced Walk in Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N006616 Issued in NY

Legal business name

ADVANCED WALK IN PODIATRY

Practice address

9834 63Rd Dr Apt 4B
Rego Park, NY 11374-2307

Phone

(516) 661-1981

Fax

(719) 275-2870

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Toru Shimoji

Title

Podiatrist

Phone

(347) 801-4158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1639629710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 63RD DR APT 4B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742307",
            "telephone_number": "516-661-1981",
            "fax_number": "719-275-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WALK IN PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "SHIMOJI",
        "authorized_official_first_name": "TORU",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "347-801-4158",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.