Organization Active NPI

Suffolk Podiatry PC

  • Foot Surgery Podiatrist
  • Islip Terrace, NY
National Provider Identifier
1790882983
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
SUFFOLK PODIATRY PC
Practice address
111 Carleton Ave
Suite 5
Islip Terrace, NY 11752-2236
Phone
(631) 581-8822
Fax
(631) 581-0857
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Peter Cutler, D.P.M.
Title
President
Phone
(631) 581-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

111 Carleton Ave
Suite 5
Islip Terrace, NY 11752-2236

Mailing address

111 Carleton Ave
Suite 5
Islip Terrace, NY 11752-2236
Phone (631) 581-8822

National Provider Directory

National Provider Directory

Locations

111 Carleton Ave
Ste 5
Islip Terrace, NY 11752
Phone (631) 581-8822

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1790882983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CARLETON AVE",
            "address_2": "SUITE 5",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522236",
            "telephone_number": "631-581-8822",
            "fax_number": "631-581-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CARLETON AVE",
            "address_2": "SUITE 5",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522236",
            "telephone_number": "631-581-8822",
            "fax_number": "631-581-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-581-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip Terrace, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.