NPIMap

Organization Active NPI

Mount Kisco Foot Specialists, PLLC

  • Podiatrist
  • Mount Kisco, NY
National Provider Identifier
1922159490
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005062 Issued in NY
Legal business name
MOUNT KISCO FOOT SPECIALISTS, PLLC
Practice address
344 E Main St Ste 206
Mount Kisco, NY 10549-3036
Phone
(914) 666-7367
Fax
(914) 666-7416
NPI assigned
Jan 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Dr. Richard Alan Berliner, DPMNPI 1740218171
Title
Managing Partner
Phone
(914) 666-7367

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X N005062 NY Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X N005061 NY

Addresses

Primary practice location

344 E Main St Ste 206
Mount Kisco, NY 10549-3036

Mailing address

344 E Main St Ste 206
Mount Kisco, NY 10549-3036
Phone (914) 666-7367

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070519000006 NY Part B Supplier - Clinic/Group Practice 0840397246 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Kisco, NY; Hawthorne, NY
O20100930040872 NY DME Supplier - Physician - Podiatry 0840397246 Practice locations: Mount Kisco, NY

National Provider Directory

National Provider Directory

Locations

359 E Main St
Ste 2D
Mount Kisco, NY 10549
Phone (914) 666-7367

Practitioners & affiliated clinicians

Practitioners 3

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": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1922159490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST STE 206",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493036",
            "telephone_number": "914-666-7367",
            "fax_number": "914-666-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST STE 206",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493036",
            "telephone_number": "914-666-7367",
            "fax_number": "914-666-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT KISCO FOOT SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "BERLINER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "914-666-7367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005062",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.