Lake Grove Foot Care PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N005144 Issued in NY

Legal business name

LAKE GROVE FOOT CARE PC

Practice address

2701 Middle Country Rd
Suite #1
Lake Grove, NY 11755-2117

Phone

(631) 981-5287

Fax

(631) 981-5288

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marc Andrew Foucher, DPMNPI 1952302325

Title

Owner/Physician

Phone

(631) 981-5287

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Marc Foucher

  • Podiatrist
  • Lake Grove, NY
  • NPI 1952302325
  Medicare reassignment NPD Authorized official
• Warren L Kent, DPM

  • Podiatrist
  • Port Jefferson Station, NY
  • NPI 1437150406
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1932363066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MIDDLE COUNTRY RD",
            "address_2": "SUITE #1",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552117",
            "telephone_number": "631-981-5287",
            "fax_number": "631-981-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MIDDLE COUNTRY RD",
            "address_2": "SUITE #1",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552117",
            "telephone_number": "631-981-5287",
            "fax_number": "631-981-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE GROVE FOOT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "FOUCHER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "631-981-5287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Tallon
• Lauren Kollar
• L&K Optical, Inc.
• Lake Grove Chiropractic
• Lake Grove Dentistry PC
• Lake Grove Pediatrics, PC
• Maria Lambadis
• Brooke Noelle Learned, DO
• Patrick J Lee
• Diana Lenis

• Foot Surgery Podiatrist in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.