Individual provider Active NPI

David Erdil, DPM

  • Podiatrist
  • Oceanside, NY
National Provider Identifier
1972961944
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0037271 Issued in NY
Practice address
348 Rockaway Ave
Oceanside, NY 11572-1017
Phone
(516) 763-0946
Fax
(516) 763-0946
NPI assigned
Feb 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0037271 NY Primary

Addresses

Primary practice location

348 Rockaway Ave
Oceanside, NY 11572-1017

Mailing address

348 Rockaway Ave
Oceanside, NY 11572-1017
Phone (516) 763-0946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0037271NYMDPodiatrist
0393NHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Feb 25, 2024 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Feb 25, 2024 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

44 W Webster St
Manchester, NH 03104
Phone (603) 547-5900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1972961944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 ROCKAWAY AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721017",
            "telephone_number": "516-763-0946",
            "fax_number": "516-763-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 ROCKAWAY AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721017",
            "telephone_number": "516-763-0946",
            "fax_number": "516-763-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDIL",
        "first_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0037271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.