Organization Active NPI

New York & New Jersey Foot & Ankle Care Associates P.C.

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1720164197
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
NEW YORK & NEW JERSEY FOOT & ANKLE CARE ASSOCIATES P.C.
Practice address
656 W 183Rd St
New York, NY 10033-3806
Phone
(212) 795-2261
Fax
(212) 795-2671
NPI assigned
Oct 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Gregory A Rivera, DPM
Title
President
Phone
(212) 795-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

656 W 183Rd St
New York, NY 10033-3806

Mailing address

656 W 183Rd St
New York, NY 10033-3806
Phone (212) 795-2261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220322001666 NY DME Supplier - Physician - General Practice 2567479165 Practice locations: New York, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1720164197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 W 183RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333806",
            "telephone_number": "212-795-2261",
            "fax_number": "212-795-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 W 183RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333806",
            "telephone_number": "212-795-2261",
            "fax_number": "212-795-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK & NEW JERSEY FOOT & ANKLE CARE ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-795-2261",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.