Jackson Heights International Footcare, PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

N003574 Issued in NY

Legal business name

JACKSON HEIGHTS INTERNATIONAL FOOTCARE, PC

Practice address

3757 91St St
Jackson Heights, NY 11372-7901

Phone

(718) 898-3668

Fax

(718) 898-0164

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert A. Klein, DPM

Title

President

Phone

(718) 898-3668

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1750529475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727901",
            "telephone_number": "718-898-3668",
            "fax_number": "718-898-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727901",
            "telephone_number": "718-898-3668",
            "fax_number": "718-898-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEIGHTS INTERNATIONAL FOOTCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-898-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "N003574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00786769",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Heights Dental Care
• Jackson Heights Dental Group
• Jackson Heights Dental Mr, PC (Jackson Heights Dental Center)
• Jackson Heights Drugs Inc. (Bangladesh Farmacia)
• Jackson Heights Family Dental PLLC
• Jackson Heights Latin Medical Group PC
• Jackson Heights LLC (Western Queens Health Associates)
• Jackson Heights Medical Offices PC
• Jackson Heights Medical, P.C.
• Jackson Heights Medical, P.C.

• Podiatric Clinic/Center in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Podiatric Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.