Organization Active NPI

LV Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Fresh Meadows, NY
National Provider Identifier
1801629845
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LV PODIATRY PLLC
Practice address
6134 188TH St Ste 203
Fresh Meadows, NY 11365-2726
Phone
(718) 454-4333
Fax
(718) 454-4823
NPI assigned
Aug 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Dr. Quynh Lee, DPMNPI 1043650385
Title
Member
Phone
(718) 454-4333

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

6134 188TH St Ste 203
Fresh Meadows, NY 11365-2726

Mailing address

6134 188TH St Ste 203
Fresh Meadows, NY 11365-2726
Phone (718) 454-4333

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240926001216 NY Part B Supplier - Clinic/Group Practice 2567903818 Receives reassigned benefits from 3 practitioners
Practice locations: Fresh Meadows, NY
O20250318003390 NY DME Supplier - Physician - Podiatry 2567903818 Practice locations: Fresh Meadows, NY

National Provider Directory

National Provider Directory

Locations

6134 188th St
Ste 203
Fresh Meadows, NY 11365
Phone (516) 457-6959

Practitioners & affiliated clinicians

Practitioners 3

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": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1801629845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 188TH ST STE 203",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652726",
            "telephone_number": "718-454-4333",
            "fax_number": "718-454-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 188TH ST STE 203",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652726",
            "telephone_number": "718-454-4333",
            "fax_number": "718-454-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "QUYNH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-454-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.