NPIMap

Organization Active NPI

Family Footcare Group LLP

  • Foot & Ankle Surgery Podiatrist
  • Monticello, NY
National Provider Identifier
1952362865
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FAMILY FOOTCARE GROUP LLP
Practice address
427 Broadway
Suite #2
Monticello, NY 12701-1742
Phone
(845) 794-7741
Fax
(845) 794-0228
NPI assigned
Mar 30, 2006
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Gregg Keith Atlas, DPMNPI 1669416574
Title
Podiatrist Partner
Phone
(845) 794-7741

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NY Primary

Addresses

Primary practice location

427 Broadway
Suite #2
Monticello, NY 12701-1742

Mailing address

427 Broadway
Suite #2
Monticello, NY 12701-1742
Phone (845) 794-7741

Other identifiers 2

IdentifierTypeStateIssuer
01948732MedicaidNY
0441090001OtherNYMEDICARE DMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000283 NY Part B Supplier - Clinic/Group Practice 9032018866 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroe, NY; Port Jervis, NY; Monticello, NY; Middletown, NY; Liberty, NY; Callicoon, NY

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

427 Broadway
Ste 2
Monticello, NY 12701
Phone (845) 794-7741

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1952362865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 BROADWAY",
            "address_2": "SUITE #2",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011742",
            "telephone_number": "845-794-7741",
            "fax_number": "845-794-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BROADWAY",
            "address_2": "SUITE #2",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011742",
            "telephone_number": "845-794-7741",
            "fax_number": "845-794-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOTCARE GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-30",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "ATLAS",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PODIATRIST PARTNER",
        "authorized_official_telephone_number": "845-794-7741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01948732",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0441090001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.