Active NPI
Fifth Ave Podiatric Surgery Suite
- Ambulatory Surgical Clinic/Center
- New York, NY
National Provider Identifier
1649786377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 436684
- Legal business name
- FIFTH AVE PODIATRIC SURGERY SUITE
- Practice address
- 133 E 54TH St RM 2a
New York, NY 10022-4538 - Phone
- (212) 759-9090
- NPI assigned
- Dec 18, 2017
- 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
- Howard Shapiro, DPM
- Title
- Medical Director
- Phone
- (212) 759-9090
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 436684 | NY | Primary |
Addresses
Primary practice location
133 E 54TH St RM 2a
New York, NY 10022-4538
Mailing address
133 E 54TH St RM 2a
New York, NY 10022-4538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 436684 | Other | NY | THE JOINT COMMISSION |
National Provider Directory
National Provider DirectoryLocations
133 E 54th St
Rm 2A
New York, NY 10022
Phone (212) 759-9090
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- New York, NY
- NPI 1154428175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513555200000",
"number": "1649786377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 E 54TH ST RM 2A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E 54TH ST RM 2A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224538",
"telephone_number": "212-759-9090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIFTH AVE PODIATRIC SURGERY SUITE",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A",
"authorized_official_last_name": "SHAPIRO",
"authorized_official_first_name": "HOWARD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "212-759-9090",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NY",
"license": "436684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE JOINT COMMISSION",
"identifier": "436684",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Joseph Ryan Fifield, LMHC
- Savannah Fifield, MA, MHC-LP
- Fifth Ave Endometriosis Medical Care PLLC
- Fifth Ave Medical PLLC
- Fifth Ave Plastic Surgery PC
- Fifth Avenue Acup Health Inc
- Fifth Avenue Anesthesia Associates, PC
- Fifth Avenue Center
- Fifth Avenue Center for Counseling and Psychotherapy, Inc.
- Fifth Avenue Medical Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.