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SUFFOLK COUNTY FOOT CARE PLLC
NPI 1114023660
Clinic/Center - Podiatric in Kings Park, NY

Active since September 15, 2006
63 MAIN ST, KINGS PARK, NY 11754(631) 269-4600(631) 269-0801 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suffolk County Foot Care Pllc NPPES

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

SUFFOLK COUNTY FOOT CARE PLLC (NPI 1114023660) is a healthcare organization registered as a podiatric in Kings Park, New York and active in the NPI registry since September 2006. The organization lists Stephen B Ravitz, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1114023660
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameSUFFOLK COUNTY FOOT CARE PLLC
Location Address63 MAIN STKings Park, NY 11754-2706
Mailing Address63 Main StKings Park, NY 11754-2706 · (631) 269-4600 · Fax (631) 269-0801
Phone(631) 269-4600
Fax(631) 269-0801
Organization SubpartNo
Authorized OfficialStephen B RavitzPodiatrist · (631) 269-4600
Enumeration DateSeptember 15, 2006
Last NPPES UpdateApril 29, 2011
✔ NPI 1114023660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
63 MAIN ST, Kings Park, NY 11754
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Other Identifiers 13

Other6299184Ghi
Medicare PINPLW911NY
Other2154835United Healthcare
Other9653126Ghi
Other130904Vytra
Other01271269Caid
Medicare NSC0478480001NY
OtherCS267Oxford
OtherP55031United Healthcare
OtherP2654015Oxford
Other02216448Caid
Other19966Vytra
Medicaid01271269NY

Other Providers at the Same Location NPPES

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

SUFFOLK COUNTY FOOT CARE PLLC
Podiatrist
63 MAIN ST
KINGS PARK, NY 11754
Suffolk County (631) 269-4600

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 Suffolk County Foot Care PLLC's NPI number?

The NPI number for Suffolk County Foot Care PLLC is 1114023660. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Suffolk County Foot Care PLLC located?

Suffolk County Foot Care PLLC is located at 63 Main St, Kings Park, NY 11754. The listed phone number is (631) 269-4600.

What is Suffolk County Foot Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Suffolk County Foot Care PLLC was last updated on April 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.