NPIMap

Organization Active NPI

Cherrywood Foot Care Group PC

  • Podiatrist
  • North Bellmore, NY
National Provider Identifier
1891899381
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003896 Issued in NY
Legal business name
CHERRYWOOD FOOT CARE GROUP PC
Practice address
2791 Jerusalem Ave
North Bellmore, NY 11710-1833
Phone
(516) 826-9000
Fax
(516) 826-9036
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Dr. Joseph S Burke, DPMNPI 1235242819
Title
Owner
Phone
(516) 826-9000

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N003896 NY Primary

Addresses

Primary practice location

2791 Jerusalem Ave
North Bellmore, NY 11710-1833

Mailing address

2791 Jerusalem Ave
North Bellmore, NY 11710-1833
Phone (516) 826-9000

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324001834 NY Part B Supplier - Clinic/Group Practice 5294627493 Receives reassigned benefits from 4 practitioners
Practice locations: North Bellmore, NY
O20100930001674 NY DME Supplier - Physician - Podiatry 5294627493 Practice locations: North Bellmore, NY

National Provider Directory

National Provider Directory

Locations

2791 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 826-9000

1170 Wantagh Ave
Wantagh, NY 11793
Phone (516) 826-9000

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1891899381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 JERUSALEM AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101833",
            "telephone_number": "516-826-9000",
            "fax_number": "516-826-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 JERUSALEM AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101833",
            "telephone_number": "516-826-9000",
            "fax_number": "516-826-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYWOOD FOOT CARE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-826-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.