Organization Active NPI

Quality Care Podiatry

  • Podiatric Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1861669798
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
N005647 Issued in NY
Legal business name
QUALITY CARE PODIATRY
Practice address
453 Bay Ridge Pkwy
Brooklyn, NY 11209-2701
Phone
(718) 833-0869
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Dr. Roy Konrad Olsen, D.P.M.
Title
Owner/Podiatrist
Phone
(718) 833-0869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X N005647 NY Primary

Addresses

Primary practice location

453 Bay Ridge Pkwy
Brooklyn, NY 11209-2701

Mailing address

453 Bay Ridge Pkwy
Brooklyn, NY 11209-2701
Phone (718) 833-0869

Other identifiers 1

IdentifierTypeStateIssuer
02157519MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1861669798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092701",
            "telephone_number": "718-833-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092701",
            "telephone_number": "718-833-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "KONRAD",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "718-833-0869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "N005647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02157519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.