Island Foot and Ankle
Organization Active NPI Foot & Ankle Surgery Podiatrist · Wading River, NY
NPI 1922665231 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1922665231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- ISLAND FOOT AND ANKLE
- Practice address
- 6144 Route 25a
Wading River, NY 11792-2018 - Phone
- (631) 707-8771
- NPI assigned
- May 22, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- ISLAND FOOT AND ANKLE
Authorized official
- Name
- Anthony J Ferraro
- Title
- DPM
- Phone
- (631) 422-4450
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 5
Practitioners 9
-
Anthony J Ferraro, D.P.M.
-
Maria Cifone, DPM
-
Frank Paul Desio, DPM
-
William Charles Etts, DPM
-
Judah M Gomberg, DPM
-
John Draugel Kannengieser, D.P.M.
-
Alexandra Larocca, DPM
-
David Strassman, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200210002346 | NY | DME Supplier - Physician - Podiatry | 4587841119 | Practice locations: Wading River, NY |
National Provider Directory
- Tax ID family
- Edward F McLaughlin
- Part of
- Edward F McLaughlin
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
6144 Route 25a
Wading River, NY 11792-2018
Mailing address
1111 Montauk Hwy Ste 100
West Islip, NY 11795-4910
Phone (631) 422-4450
Other providers in Wading River, NY
- Nasif Hossain
- Taylor June Howell
- Michelle Marie Iannone
- Alissa Iervese
- Island Comprehensive Care Inc.
- Island Rheumatology and Osteoporosis, PC
- J N Brodbeck DC PLLC
- J on N Eil Brodbeck DC PLLC
- Neil D Jaglall
- Alina Jakimiuk-Molik
All providers in Wading River, NY · Foot & Ankle Surgery Podiatrist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.