Organization Active NPI

Glenn W. Callahan, D.P.M.

  • Durable Medical Equipment & Medical Supplies
  • Yonkers, NY
National Provider Identifier
1912107244
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N0038981 Issued in NY
Legal business name
GLENN W. CALLAHAN, D.P.M.
Doing business as
Foot Care Center Of Yonkers
Practice address
626 McLean Ave
Yonkers, NY 10705-4738
Phone
(914) 423-8808
Fax
(914) 423-8810
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Dr. Glenn W Callahan, D.P.M.NPI 1922195353
Title
Doctor
Phone
(914) 423-8808

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
Durable Medical Equipment & Medical Supplies 332B00000X N0038981 NY Primary

Addresses

Primary practice location

626 McLean Ave
Yonkers, NY 10705-4738

Mailing address

626 McLean Ave
Yonkers, NY 10705-4738
Phone (914) 423-8808

Other identifiers 3

IdentifierTypeStateIssuer
009045723MedicaidNY
WS1077OtherNYOXFORD
P51252OtherNYEMPIRE BLUE CROSS BLUE SH

Other names 1

  • Foot Care Center Of Yonkers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930032930 NY DME Supplier - Physician - Podiatry 5799980546 Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1912107244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054738",
            "telephone_number": "914-423-8808",
            "fax_number": "914-423-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054738",
            "telephone_number": "914-423-8808",
            "fax_number": "914-423-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN W. CALLAHAN, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "914-423-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N0038981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009045723",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS1077",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "P51252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Care Center Of Yonkers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.