NPIMap

Organization Active NPI

Lite Step Podiatry Wellness, PC

  • Podiatrist
  • Wading River, NY
National Provider Identifier
1851724942
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005499 Issued in NY
Legal business name
LITE STEP PODIATRY WELLNESS, PC
Practice address
6302 Route 25a
Wading River, NY 11792-2026
Phone
(631) 707-8771
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Patricia Nicholas, DPM
Title
Owner
Phone
(631) 707-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N005499 NY Primary

Addresses

Primary practice location

6302 Route 25a
Wading River, NY 11792-2026

Mailing address

6302 Route 25a
Wading River, NY 11792-2026
Phone (631) 707-8771

National Provider Directory

National Provider Directory
Tax ID family
Lite Step Podiatry Wellness PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1851724942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 ROUTE 25A",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922026",
            "telephone_number": "631-707-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 ROUTE 25A",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922026",
            "telephone_number": "631-707-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITE STEP PODIATRY WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-707-8771",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wading River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.