Organization Active NPI

Huguenot Podiatry Group PC

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1689929374
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
HUGUENOT PODIATRY GROUP PC
Practice address
62 Seguine Ave Unit 2
Staten Island, NY 10309-3723
Phone
(718) 948-3838
Fax
(718) 948-3838
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Marianne Lants, DPMNPI 1508981101
Title
Podiatrist
Phone
(718) 948-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

62 Seguine Ave Unit 2
Staten Island, NY 10309-3723

Mailing address

62 Seguine Ave Unit 2
Staten Island, NY 10309-3723
Phone (718) 948-3838

Other practice location 1

1042 Huguenot Ave
Staten Island, NY 10312-4315
Phone (718) 948-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121204000113 NY Part B Supplier - Clinic/Group Practice 5395997019 Receives reassigned benefits from 2 practitioners
Practice locations: Staten Island, NY
O20220802001022 NY DME Supplier - Physician - Podiatry 5395997019 Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

62 Seguine Ave
Staten Island, NY 10309

62 Seguine Ave
#2
Staten Island, NY 10309
Phone (718) 317-7740

Practitioners & affiliated clinicians

Practitioners 3

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": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1689929374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SEGUINE AVE UNIT 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093723",
            "telephone_number": "718-948-3838",
            "fax_number": "718-948-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 SEGUINE AVE UNIT 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093723",
            "telephone_number": "718-948-3838",
            "fax_number": "718-948-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1042 Huguenot Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103124315",
            "country_code": "US",
            "telephone_number": "718-948-3838",
            "fax_number": "718-948-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUGUENOT PODIATRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "LANTS",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "718-948-3838",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.