University Foot and Ankle PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

005788 Issued in NY

Legal business name

UNIVERSITY FOOT AND ANKLE PC

Practice address

5 Crane Road
Lloyd Harbour, NY 11743-6691

Phone

(914) 649-4700

NPI assigned

Oct 12, 2011

Last updated

Jan 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David M. Bartol, DPMNPI 1689628737

Title

Owner

Phone

(914) 649-4700

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Bartol, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1689628737
  NPD Authorized official
• Josephine Reynoso, R.P.A.-C.

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1073959904
  NPD (past)

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1669757571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CRANE RD",
            "city": "LLOYD HARBOR",
            "state": "NY",
            "postal_code": "117431732",
            "telephone_number": "914-649-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CRANE ROAD",
            "city": "LLOYD HARBOUR",
            "state": "NY",
            "postal_code": "117436691",
            "telephone_number": "914-649-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "BARTOL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-649-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "005788",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NY",
            "license": "N005788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.