Active NPI
Shirley Labardy
- Podiatrist
- Rosedale, NY
National Provider Identifier
1891933537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N005293
- Practice address
- 25302 147TH Ave
Rosedale, NY 11422-2541 - Phone
- (718) 528-0960
- Fax
- (718) 528-3522
- NPI assigned
- Feb 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N005293 | NY | Primary |
Addresses
Primary practice location
25302 147TH Ave
Rosedale, NY 11422-2541
Mailing address
22514 Linden Blvd
Cambria Heights, NY 11411-1727
Phone (718) 528-0960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P6665 | Other | NY | EMPIRE BLUE CROSS BLUE SHIELD |
| P66651 | Other | NY | EMPIRE MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N005293 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1891933537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22514 LINDEN BLVD",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111727",
"telephone_number": "718-528-0960",
"fax_number": "718-528-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25302 147TH AVE",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222541",
"telephone_number": "718-528-0960",
"fax_number": "718-528-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABARDY",
"first_name": "SHIRLEY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N005293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
"identifier": "P6665",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MEDICARE",
"identifier": "P66651",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.