North Shore Podiatric Medicine & Surgery, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

NORTH SHORE PODIATRIC MEDICINE & SURGERY, P.C.

Practice address

410 Lakeville Rd
Suite 303
New Hyde Park, NY 11042-1101

Phone

(516) 326-4709

Fax

(516) 326-8968

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Woltman, DPMNPI 1386723088

Title

President

Phone

(516) 326-4709

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Robert T. Woltman, DPM

  • Podiatrist
  • New Hyde Park, NY
  • NPI 1386723088
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1891994091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 303",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-326-4709",
            "fax_number": "516-326-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 303",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-326-4709",
            "fax_number": "516-326-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PODIATRIC MEDICINE & SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "WOLTMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-326-4709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Long Island Jewish Health System Foundation
• North Shore Long Island Jewish Medical Center
• North Shore Medical Group, PC
• North Shore Operative Surgery PC
• North Shore Periodontics, PC
• North Shore Primary Care Medical Associates, PC
• North Shore University Hospital
• North Shore Vascular and Endovascular PLLC
• North Shore Vein PC
• North Shore-Lij Medical Group at Huntington PC

• Podiatrist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.