LYNBROOK PODIATRY PLLC
NPI 1114790870
Podiatrist - Foot & Ankle Surgery in Lynbrook, NY
About Lynbrook Podiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYNBROOK PODIATRY PLLC (NPI 1114790870) is a healthcare organization registered as a foot & ankle surgery in Lynbrook, New York and active in the NPI registry since November 2023. The organization lists Eugene Kim, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lynbrook Podiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lynbrook Podiatry PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lynbrook Podiatry PLLC's NPI number?
The NPI number for Lynbrook Podiatry PLLC is 1114790870. It was assigned to this organization in the NPPES registry on November 3, 2023.
Where is Lynbrook Podiatry PLLC located?
Lynbrook Podiatry PLLC is located at 215 Atlantic Ave, Lynbrook, NY 11563. The listed phone number is (516) 599-5688.
What is Lynbrook Podiatry PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Lynbrook Podiatry PLLC enrolled in Medicare?
Yes. Lynbrook Podiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lynbrook Podiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Lynbrook Podiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lynbrook Podiatry PLLC was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lynbrook Podiatry Pllc · NPI 1114790870
Foot & Ankle Surgery organization in Lynbrook, New York. Organization record, active in the CMS NPPES registry since November 3, 2023.
## Identity
- **NPI:** 1114790870 (Entity type: Organization)
- **Enumerated:** November 3, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Eugene Kim, OWNER
## Practice location
- **Address:** 215 ATLANTIC AVE, Lynbrook, NY 11563-3567
- **Phone:** (516) 599-5688 · **Fax:** (516) 599-5029
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114790870) · Data from the CMS NPPES public registry.