Active NPI
Quality Care Podiatry
- Podiatric Clinic/Center
- Brooklyn, NY
National Provider Identifier
1861669798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- N005647
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02157519 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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
- Quality Care Physical Therapy and Acupuncture PLLC
- Quality Care Physical Therapy PLLC
- Quality Care Physical Therapy Rehab PC
- Quality Care Physical Therapy, PC
- Quality Care Physical Therapy, PC
- Quality Custom Medical Supply Inc
- Quality Dental
- Quality Diagnostic Imaging PC
- Quality DME, Inc.
- Quality Family Care, LLC.
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.