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MODERN PODIATRIC CARE P.C
NPI 1023299674
Podiatrist in Queens Village, NY

Active since November 23, 2007
9204 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11428(718) 465-3040 Get Directions Write a Review

NPPES record last updated: January 5, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modern Podiatric Care P.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN PODIATRIC CARE P.C (NPI 1023299674) is a healthcare organization registered as a podiatrist in Queens Village, New York and active in the NPI registry since November 2007. The organization lists Michael C. Nwakanma, Physican, as its authorized official.

NPPES Registry Identity

NPI1023299674
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMODERN PODIATRIC CARE P.C
Location Address9204 SPRINGFIELD BLVDQueens Village, NY 11428-1857
Mailing Address11620 190th StSaint Albans, NY 11412-3132 · (718) 465-3040
Phone(718) 465-3040
Organization SubpartNo
Authorized OfficialMichael C. NwakanmaPhysican · (718) 465-3040
Enumeration DateNovember 23, 2007
Last NPPES UpdateJanuary 5, 2009
✔ NPI 1023299674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · 005629
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
9204 SPRINGFIELD BLVD, Queens Village, NY 11428
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Other Identifiers 4

Medicare PINPUW071NY
Medicare UPINU76147NY
Medicaid01984110NY
Medicare PIN07583NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
Clinic/Center (Primary Care)
9204 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11428
Queens County (718) 465-3040
THE TRUE INNER YOU
Social Worker (Clinical)
9204 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11428
Queens County (888) 387-9827
STEPHANIE LAI RDN, CDN
Dietitian, Registered
9204 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11428
Queens County (718) 465-3040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Podiatric Care P.C's NPI number?

The NPI number for Modern Podiatric Care P.C is 1023299674. It was assigned to this organization in the NPPES registry on November 23, 2007.

Where is Modern Podiatric Care P.C located?

Modern Podiatric Care P.C is located at 9204 Springfield Blvd, Queens Village, NY 11428. The listed phone number is (718) 465-3040.

What is Modern Podiatric Care P.C's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Modern Podiatric Care P.C was last updated on January 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.