Organization Active NPI

Northeast Foot Care Podiatry PC

  • Podiatric Clinic/Center
  • Garnerville, NY
National Provider Identifier
1689164584
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
N006820 Issued in NY
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

Updated by the provider on May 16, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A400176602OtherNYMEDICARE
04816428MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.