NPIMap

Organization Active NPI

Long Island Foot Care, PC

  • Podiatrist
  • Freeport, NY
National Provider Identifier
1780802264
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004738 Issued in NY
Legal business name
LONG ISLAND FOOT CARE, PC
Practice address
294 W Merrick Rd
Suite 8
Freeport, NY 11520-3374
Phone
(516) 378-8383
Fax
(516) 377-6991
NPI assigned
Apr 23, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Emilio Goez, DPMNPI 1093710865
Title
Owner
Phone
(516) 378-8383

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004890 NY
Podiatrist 213E00000X N004738 NY Primary

Addresses

Primary practice location

294 W Merrick Rd
Suite 8
Freeport, NY 11520-3374

Mailing address

294 W Merrick Rd
Suite 8
Freeport, NY 11520-3374
Phone (516) 378-8383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000006 NY Part B Supplier - Clinic/Group Practice 9931386380 Receives reassigned benefits from 4 practitioners
Practice locations: Bronx, NY; Freeport, NY

National Provider Directory

National Provider Directory

Locations

326 E 149th St
Bronx, NY 10451
Phone (718) 402-6380

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1780802264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 W MERRICK RD",
            "address_2": "SUITE 8",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203374",
            "telephone_number": "516-378-8383",
            "fax_number": "516-377-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W MERRICK RD",
            "address_2": "SUITE 8",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203374",
            "telephone_number": "516-378-8383",
            "fax_number": "516-377-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND FOOT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "GOEZ",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-378-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004890",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.