Organization Active NPI

Comprehensive Family Podiatry

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1669582060
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005865 Issued in NY
Legal business name
COMPREHENSIVE FAMILY PODIATRY
Practice address
422 2ND Ave
New York, NY 10010-4002
Phone
(212) 686-5040
Fax
(212) 686-5320
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Dr. Song Ki Yu, D.P.M.,
Title
President
Phone
(212) 686-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N005865 NY Primary

Addresses

Primary practice location

422 2ND Ave
New York, NY 10010-4002

Mailing address

422 2ND Ave
New York, NY 10010-4002
Phone (212) 686-5040

National Provider Directory

National Provider Directory

Locations

422 2nd Ave
New York, NY 10010
Phone (212) 684-6684

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1669582060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104002",
            "telephone_number": "212-686-5040",
            "fax_number": "212-686-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104002",
            "telephone_number": "212-686-5040",
            "fax_number": "212-686-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SONG",
        "authorized_official_middle_name": "KI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-686-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M.,"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.