Organization Active NPI

Tender Foot Care PLLC

  • Foot Surgery Podiatrist
  • Forest Hills, NY
National Provider Identifier
1821272782
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
005404 Issued in NY
Legal business name
TENDER FOOT CARE PLLC
Practice address
10230 67TH Ave
Suite1S
Forest Hills, NY 11375-2455
Phone
(718) 275-7590
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Elvira Callahan, DPMNPI 1588647879
Title
Owner
Phone
(718) 275-7590

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 Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 005404 NY Primary

Addresses

Primary practice location

10230 67TH Ave
Suite1S
Forest Hills, NY 11375-2455

Mailing address

10230 67TH Ave
Suite1S
Forest Hills, NY 11375-2455
Phone (718) 275-7590

Other identifiers 2

IdentifierTypeStateIssuer
PB6601OtherNYEMPIRE MEDICARE
P00252153OtherNYRAILROAD MEDICARE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050114000620 NY Part B Supplier - Clinic/Group Practice 8628049194 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY
O20100930057260 NY DME Supplier - Physician - Podiatry 8628049194 Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1821272782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 67TH AVE",
            "address_2": "SUITE1S",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752455",
            "telephone_number": "718-275-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 67TH AVE",
            "address_2": "SUITE1S",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752455",
            "telephone_number": "718-275-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER FOOT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-275-7590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "005404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE MEDICARE",
            "identifier": "PB6601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00252153",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.