Kings Park Podiatry PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005196 Issued in NY

Legal business name

KINGS PARK PODIATRY PLLC

Practice address

160 E Northport Rd
Kings Park, NY 11754-2541

Phone

(631) 269-6060

Fax

(631) 269-7173

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Gail F. Garofalo, DPMNPI 1134205776

Title

Owner

Phone

(516) 457-8552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail Frances Garofalo, DPM

  • Podiatrist
  • New Hyde Park, NY
  • NPI 1134205776
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1689171324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E NORTHPORT RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542541",
            "telephone_number": "631-269-6060",
            "fax_number": "631-269-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E NORTHPORT RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542541",
            "telephone_number": "631-269-6060",
            "fax_number": "631-269-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS PARK PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "GAROFALO",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-457-8552",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KFP Corp
• Kings Park Central School District
• Kings Park Fire Dist
• Kings Park Medicine PC
• Kings Park Physical Therapy PC
• Kings Park Primary Medical Care PC
• Sabrina Angela Klemballa
• Tonianne Klis
• Claire Diane Kolensky, M.D.
• Stacie Lee Kolker, LCSW

• Podiatrist in Kings Park, NY
• Providers in Kings Park, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.