Organization Active NPI

Northeast Foot Care, PLLC

  • Podiatrist
  • Amsterdam, NY
National Provider Identifier
1740469907
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
005571 Issued in NY
Legal business name
NORTHEAST FOOT CARE, PLLC
Practice address
5010 State Highway 30 Ste 106
Amsterdam, NY 12010-7532
Phone
(518) 842-2200
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
David Lambarski, DPMNPI 1972592905
Title
Owner
Phone
(518) 842-2200

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 005571 NY Primary

Addresses

Primary practice location

5010 State Highway 30 Ste 106
Amsterdam, NY 12010-7532

Mailing address

5010 State Highway 30 Ste 106
Amsterdam, NY 12010-7532

Other identifiers 3

IdentifierTypeStateIssuer
01984803MedicaidNY
DD4427OtherNYRR MEDICARE GRP
P00228404OtherNYRR MEDICARE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040909001379 NY Part B Supplier - Clinic/Group Practice 3476529447 Receives reassigned benefits from 1 practitioner
Practice locations: Amsterdam, NY
O20100930018601 NY DME Supplier - Physician - Podiatry 3476529447 Practice locations: Amsterdam, NY

National Provider Directory

National Provider Directory

Locations

1770 Route 9
Ste 201
Halfmoon, NY 12065
Phone (518) 842-2220

Practitioners & affiliated clinicians

Practitioners 2

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1740469907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE 106",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE 106",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FOOT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "LAMBARSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-842-2200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01984803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP",
            "identifier": "DD4427",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00228404",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.