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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: October 18, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suffolk County Foot Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Suffolk County Foot Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Stephen Ravitz, DPM
Podiatry
NPI 1407933484
63 MAIN STREET
Kings Park, NY 11754
(631) 269-4600
✔ PECOS✔ Accepts MedicareSame address
Anthony Zizzamia, DPM
Podiatry
NPI 1801237425
260 E MIDDLE COUNTRY RD SUITE 104
Smithtown, NY 11787
(631) 724-1166
✔ PECOS✔ Accepts Medicare4.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Suffolk County Foot Care PLLC enrolled in Medicare?

Yes. Suffolk County Foot Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suffolk County Foot Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Suffolk County Foot Care PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.