Organization Active NPI

Plum Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Cedarhurst, NY
National Provider Identifier
1649976879
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PLUM PODIATRY PC
Practice address
123 Maple Ave Ste 202a
Cedarhurst, NY 11516-2240
Phone
(516) 405-6700
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Danny MergiNPI 1821345166
Title
DPM
Phone
(917) 865-5156

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

123 Maple Ave Ste 202a
Cedarhurst, NY 11516-2240

Mailing address

123 Maple Ave Ste 202a
Cedarhurst, NY 11516-2240
Phone (516) 405-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230315001204 NY Part B Supplier - Clinic/Group Practice 0547634503 Receives reassigned benefits from 4 practitioners
Practice locations: Cedarhurst, NY; Woodmere, NY; Port Jefferson Station, NY; Millbrook, NY; Fresh Meadows, NY; Brooklyn, NY; Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1649976879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAPLE AVE STE 202A",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162240",
            "telephone_number": "516-405-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAPLE AVE STE 202A",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162240",
            "telephone_number": "516-405-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "MERGI",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "917-865-5156"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "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 31, 2023; 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.