Advance Podiatry PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N006202 Issued in NY

Legal business name

ADVANCE PODIATRY PC

Practice address

14425 77TH Ave
Flushing, NY 11367-3129

Phone

(917) 239-5670

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Isak Badalov, DPMNPI 1396881264

Title

Owener

Phone

(917) 239-5670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isak Badalov, DPM

  • Foot Surgery Podiatrist
  • Jamaica, NY
  • NPI 1396881264
  Medicare reassignment NPD Authorized official
• Leonard Alan Rickman, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Kew Gardens, NY
  • NPI 1417917527
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1821130634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14425 77TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673129",
            "telephone_number": "917-239-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 77TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673129",
            "telephone_number": "917-239-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "BADALOV",
        "authorized_official_first_name": "ISAK",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "917-239-5670",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Adler, RN
• Mitchell Adler, DDS
• Denise Danielle Adrien
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• Advanced Best Care Dental, LLP
• Advanced Cardiovascular Imaging, PC
• Advanced Diagnostic Imaging PLLC
• Advanced Foot Care Associates PLLC

• Foot Surgery Podiatrist in Flushing, NY
• Providers in Flushing, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.