NPIMap

Organization Active NPI

Country Foot Care Podiatry

  • Primary Podiatric Medicine Podiatrist
  • Mineola, NY
National Provider Identifier
1851824544
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
COUNTRY FOOT CARE PODIATRY
Practice address
173 Mineola Blvd
Suite 201
Mineola, NY 11501-2528
Phone
(516) 741-3338
Fax
(516) 506-7123
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Steven Brook
Title
Owner
Phone
(516) 741-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

173 Mineola Blvd
Suite 201
Mineola, NY 11501-2528

Mailing address

655-23 Montauk Highway
East Patchogue, NY 11772-3154
Phone (631) 475-3030

National Provider Directory

National Provider Directory
Tax ID family
Country Foot Care Podiatry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1851824544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655-23 MONTAUK HIGHWAY",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117723154",
            "telephone_number": "631-475-3030",
            "fax_number": "631-475-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "address_2": "SUITE 201",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012528",
            "telephone_number": "516-741-3338",
            "fax_number": "516-506-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY FOOT CARE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "BROOK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-741-3338"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.