ADVANCED PODIATRY OF HUNTINGTON PLLC NPI 1023299096

Podiatrist (Foot Surgery) in Huntington, NY

NPI 1023299096 Organization Podiatrist Foot Surgery

About ADVANCED PODIATRY OF HUNTINGTON PLLC

Advanced Podiatry Of Huntington Pllc is a provider established in Huntington, New York specializing in podiatrist (foot surgery) . The NPI number of Advanced Podiatry Of Huntington Pllc is 1023299096 and was assigned on November 2007. The practitioner's primary taxonomy code is 213ES0131X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Pedram A Hendizadeh Dpm (Partner)

NPI

1023299096

Provider NameADVANCED PODIATRY OF HUNTINGTON PLLC
Provider Location Address76 E MAIN ST SUITE 3 HUNTINGTON, NY 11743
Provider Mailing Address76 E MAIN ST SUITE 3 HUNTINGTON, NY 11743
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-19-2007
Last Update Date05-29-2008


Primary Taxonomy

Taxonomy Code213ES0131X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationFoot Surgery

Business Address

ADVANCED PODIATRY OF HUNTINGTON PLLC
76 E MAIN ST
SUITE 3
HUNTINGTON, NY
ZIP 11743
Phone: (631) 427-3678
Fax: (631) 427-5595

Get Directions


Mailing Address

ADVANCED PODIATRY OF HUNTINGTON PLLC
76 E MAIN ST
SUITE 3
HUNTINGTON, NY
ZIP 11743
Phone: (631) 427-3678
Fax: (631) 427-5595



Authorized Official

Authorized Official NameDR. PEDRAM A HENDIZADEH DPM
Authorized Official TitlePARTNER
Authorized Official Phone(631) 427-3678

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesN005950-1NYNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
6061220001MEDICARE NSC (07)NY

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790841625MS. DEBRA J REISS L.C.S.W.
Individual
Social Worker (Clinical)76 E MAIN ST
HUNTINGTON, NY 11743
(631) 421-1669
1336158187DR. VIJAY B. GOPAL M.D.
Individual
Internal Medicine76 E MAIN ST STE 1
HUNTINGTON, NY 11743
(631) 424-1170
1942404918RICHARD SHERMAN & ARTHUR COHEN
Organization
Podiatrist76 E MAIN ST
HUNTINGTON, NY 11743
(631) 427-3678

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.