Metropolitan Podiatry Associates PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

METROPOLITAN PODIATRY ASSOCIATES PC

Practice address

80-02 Kew Gardens Road
Kew Gardens, NY 11415

Phone

(718) 896-4555

Fax

(718) 544-1365

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Lucas, DPMNPI 1134563265

Title

DPM

Phone

(570) 460-3340

Specialties & licenses 7

Addresses

Other names 1

• Kew Gardens Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Metropolitan Podiatry Associates PC

  • Podiatrist
  • Williston Park, NY
  • NPI 1154288173

  3678807765

  Same PAC ID

Tax ID family

Metropolitan Podiatry Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Metropolitan Podiatry Associates PC

  • Podiatrist
  • Williston Park, NY
  • NPI 1154288173
  NPD tax ID

Locations

Practitioners 1

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

• Kelly Lucas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Franklin Square, NY
  • NPI 1134563265
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1942637152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80-02 KEW GARDENS ROAD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "11415",
            "telephone_number": "718-896-4555",
            "fax_number": "718-544-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80-02 KEW GARDENS ROAD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "11415",
            "telephone_number": "718-896-4555",
            "fax_number": "718-544-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "570-460-3340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Public Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kew Gardens Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.