Active NPI
Northeast Foot Care Podiatry PC
- Podiatric Clinic/Center
- Garnerville, NY
National Provider Identifier
1689164584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- N006820
- Legal business name
- NORTHEAST FOOT CARE PODIATRY PC
- Practice address
- 16 Seminara Cir
Garnerville, NY 10923 - Phone
- (845) 641-4783
- NPI assigned
- May 16, 2018
- 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
- Monica J Montalvo, DPM
- Title
- Podiatrist
- Phone
- (845) 641-4783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | N006820 | NY | Primary |
Addresses
Primary practice location
16 Seminara Cir
Garnerville, NY 10923
Mailing address
16 Seminara Cir
Garnerville, NY 10923-1736
Phone (845) 641-4783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400176602 | Other | NY | MEDICARE |
| 04816428 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526428800000",
"number": "1689164584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SEMINARA CIR",
"city": "GARNERVILLE",
"state": "NY",
"postal_code": "109231736",
"telephone_number": "845-641-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 SEMINARA CIR",
"city": "GARNERVILLE",
"state": "NY",
"postal_code": "10923",
"telephone_number": "845-641-4783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST FOOT CARE PODIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A",
"authorized_official_last_name": "MONTALVO",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "845-641-4783",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "NY",
"license": "N006820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A400176602",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04816428",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garnerville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.