Organization Active NPI

Tri-State Foot Care, P.C

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1972762458
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005668 Issued in NY
Legal business name
TRI-STATE FOOT CARE, P.C
Practice address
1164 Nostrand Ave
Brooklyn, NY 11225-5418
Phone
(866) 464-1065
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Vasilios Nicholas SpyropoulosNPI 1659396315
Title
Owner
Phone
(866) 464-1065

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N005668 NY Primary

Addresses

Primary practice location

1164 Nostrand Ave
Brooklyn, NY 11225-5418

Mailing address

13 S Shore Dr
South Amboy, NJ 08879-3433
Phone (866) 464-1065

Other identifiers 2

IdentifierTypeStateIssuer
P07851OtherNYMEDICARE ID NUMBER
02180183MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Tri State Foot Care 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.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1972762458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 S SHORE DR",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793433",
            "telephone_number": "866-464-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255418",
            "telephone_number": "866-464-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE FOOT CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "SPYROPOULOS",
        "authorized_official_first_name": "VASILIOS",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-464-1065"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "P07851",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02180183",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.