NPIMap

Organization Active NPI

Hudson Podiatry Associates, PC

  • Foot Surgery Podiatrist
  • Yorktown Heights, NY
National Provider Identifier
1659410934
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N-004707 Issued in NY
Legal business name
HUDSON PODIATRY ASSOCIATES, PC
Doing business as
yorktown footcare group
Practice address
2050 Saw Mill River Rd
Yorktown Heights, NY 10598-4108
Phone
(914) 245-7888
Fax
(914) 245-7909
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Wayne Bloom, DPMNPI 1225035835
Title
President
Phone
(914) 245-7888

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X N-004707 NY Primary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X N-004712 NY

Addresses

Primary practice location

2050 Saw Mill River Rd
Yorktown Heights, NY 10598-4108

Mailing address

2050 Saw Mill River Rd
Yorktown Heights, NY 10598-4108
Phone (914) 245-7888

Other names 1

  • yorktown footcare group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070403000522 NY Part B Supplier - Clinic/Group Practice 4183728926 Receives reassigned benefits from 2 practitioners
Practice locations: Brewster, NY; Cortlandt Manor, NY; Yorktown Heights, NY

National Provider Directory

National Provider Directory

Locations

314 Clock Tower Cmns
Ste 314
Brewster, NY 10509
Phone (845) 278-2020

314 Clock Tower Cmns
Brewster, NY 10509
Phone (914) 278-2311

420 Clock Tower Cmns
#314
Brewster, NY 10509
Phone (845) 278-2020

2050 E Main St
Ste 2
Cortlandt Manor, NY 10567
Phone (914) 736-0637

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1659410934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 SAW MILL RIVER RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984108",
            "telephone_number": "914-245-7888",
            "fax_number": "914-245-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SAW MILL RIVER RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984108",
            "telephone_number": "914-245-7888",
            "fax_number": "914-245-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON PODIATRY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-245-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N-004707",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N-004712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yorktown footcare group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.