NPIMap

Organization Active NPI

89TH Street Podiatry PC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1972900264
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
AAAASF CERT # 3876 Issued in NY
Legal business name
89TH STREET PODIATRY PC
Practice address
1588 3Rd Ave
New York, NY 10128-3401
Phone
(212) 410-9666
Fax
(212) 348-1736
NPI assigned
Dec 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Dr. Dean Spellman, D.P.M.
Title
Medical Director
Phone
(212) 410-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AAAASF CERT # 3876 NY Primary

Addresses

Primary practice location

1588 3Rd Ave
New York, NY 10128-3401

Mailing address

1588 3Rd Ave
New York, NY 10128-3401
Phone (212) 410-9666

Other identifiers 1

IdentifierTypeStateIssuer
CERT# 3876OtherNYAMERICAN ASSOCIATION FOR ACCCREDITATION OF AMBULATORY SURGERY FACILITIIES, INC.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1972900264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283401",
            "telephone_number": "212-410-9666",
            "fax_number": "212-348-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283401",
            "telephone_number": "212-410-9666",
            "fax_number": "212-348-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "89TH STREET PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "SPELLMAN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-410-9666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "AAAASF CERT # 3876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION FOR ACCCREDITATION OF AMBULATORY SURGERY FACILITIIES, INC.",
            "identifier": "CERT# 3876",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.