Elizabeth A Haeni, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004746 Issued in NY

Practice address

50 Meadow Glen Rd
Northport, NY 11768-2711

Phone

(631) 262-0849

Fax

(631) 262-0849

NPI assigned

Jan 1, 2007

Last updated

Apr 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elizabeth Ann Haeni DPM PC

  • Podiatric Clinic/Center
  • Northport, NY
  • NPI 1538976907
  Medicare reassignment NPD Authorized official
• Elizabeth Haeni DPM

  • Customized Equipment (DME)
  • Northport, NY
  • NPI 1285810465
  NPD (past) Authorized official

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1760549836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEADOW GLEN RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682711",
            "telephone_number": "631-262-3331",
            "fax_number": "631-262-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEADOW GLEN RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682711",
            "telephone_number": "631-262-0849",
            "fax_number": "631-262-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAENI",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Gurdon
• Anne Letitia Gutting, OTR MACHT
• Marwan Habeeb, M.D.
• Kerry Haddock, PSY.D.
• Victoria Lee Hadix
• Jennifer Marie Hairston-Davis, LMSW
• Kathleen Judith Hajagos, RN MS
• Courtney Hakimian, DDS
• Davin L Halpern, DC
• Lisa Danielle Hamada, LMHC

• Podiatrist in Northport, NY
• Providers in Northport, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.