Rockaway Park Foot Care PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N005314 Issued in NY

Legal business name

ROCKAWAY PARK FOOT CARE PLLC

Practice address

230 Beach 102ND St Ste 3B
Rockaway Park, NY 11694

Phone

(718) 318-2811

Fax

(718) 318-7689

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Lisamarie Guidice, DPMNPI 1053317024

Title

Doctor

Phone

(718) 318-2811

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.

• Lisamarie Guidice, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rockaway Park, NY
  • NPI 1053317024
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1740468842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BEACH 102ND ST STE 3B",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942871",
            "telephone_number": "718-318-2811",
            "fax_number": "718-318-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BEACH 102ND ST STE 3B",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-318-2811",
            "fax_number": "718-318-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114-12 Beach Channel Drive",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Rockaway Park",
            "state": "NY",
            "postal_code": "11694",
            "country_code": "US",
            "telephone_number": "718-318-2811",
            "fax_number": "718-318-7689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCKAWAY PARK FOOT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "GUIDICE",
        "authorized_official_first_name": "LISAMARIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-318-2811",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockaway Beach Physical Therapy of Ny PLLC
• Rockaway Drugs Inc
• Rockaway Drugs Inc.
• Rockaway Drugs Inc.
• Rockaway Imaging, P.C.
• Rockaway Park Physical Therapy PLLC
• Rockaway Park Rehab Assoc PT & OT
• Rockaways ASC Development, LLC.
• David Steven Rogoff, DDS
• Tami Lynn Romano, PHARMD

• Foot & Ankle Surgery Podiatrist in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.