New Image Podiatry P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N006167 Issued in NY

Legal business name

NEW IMAGE PODIATRY P.C.

Practice address

6143 Jericho Tpke
Suite 102
Commack, NY 11725-2809

Phone

(631) 864-7380

Fax

(631) 864-7381

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Luis A Vidal, DPM

Title

Podiatrist

Phone

(631) 864-7380

Specialties & licenses 1

Addresses

Other identifiers 3

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, and the practitioner matching its NPPES authorized official.

• Jeanne Mary Courbis, D.P.M.

  • Foot Surgery Podiatrist
  • Commack, NY
  • NPI 1609892389
  Medicare reassignment NPD
• Amanda Lauren Romito, D.P.M.

  • Foot Surgery Podiatrist
  • Commack, NY
  • NPI 1861411720
  Medicare reassignment NPD

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1952314148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 JERICHO TPKE",
            "address_2": "SUITE 102",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252809",
            "telephone_number": "631-864-7380",
            "fax_number": "631-864-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 JERICHO TPKE",
            "address_2": "SUITE 102",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252809",
            "telephone_number": "631-864-7380",
            "fax_number": "631-864-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "631-864-7380",
        "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": "N006167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02832759",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GHI",
            "identifier": "07800",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVICES(EMPIRE)",
            "identifier": "PDWF01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisa B Nelson, DDS
• Erica Nemzer, M.S.
• Nerlige Basavaraju Physician, P.C.
• Kelly Christine Ness, LMT
• Anastasia Nesterenko
• New York Dermatology & Mohs Surgery Group, PLLC
• New York Dialysis Services, Inc. (Fresenius Kidney Care - Commack)
• New York Dietetics and Nutrition PLLC
• New York Family Dentistry East PLLC
• New York Pain Medical Practice PLLC

• Foot Surgery Podiatrist in Commack, NY
• Providers in Commack, 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 Apr 28, 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.