LONG ISLAND PODIATRY GROUP, P.C.
NPI 1184151003
Podiatrist - Foot & Ankle Surgery in New Hyde Park, NY

Active since May 23, 2017CLIA 33D1014437 · Waiver
1991 MARCUS AVE STE M103, NEW HYDE PARK, NY 11042(516) 327-0074(516) 327-0083 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, May 23, 2017 (2 updates tracked since 2017).

About Long Island Podiatry Group, P.c. NPPES

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

LONG ISLAND PODIATRY GROUP, P.C. (NPI 1184151003) is a healthcare organization registered as a foot & ankle surgery in New Hyde Park, New York and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Russell Caprioli, President, as its authorized official.

NPPES Registry Identity

NPI1184151003
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLONG ISLAND PODIATRY GROUP, P.C.
Location Address1991 MARCUS AVE STE M103New Hyde Park, NY 11042-2040
Mailing Address375 N Central AveValley Stream, NY 11580-1156 · (516) 825-4070 · Fax (516) 568-2318
Fax(516) 327-0083
Organization SubpartNo
Authorized OfficialRussell CaprioliPresident · (516) 837-9268
Enumeration DateMay 23, 2017
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1184151003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1991 MARCUS AVE STE M103, New Hyde Park, NY 11042

Other Identifiers 1

Medicaid02661672NY

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1014437

Long Island Podiatry Group · Valley Stream, NY
Active · expires Jul 6, 2027
CLIA Number33D1014437
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorRussell Caprioli
Laboratory Phone(516) 825-4070
Laboratory LocationLong Island Podiatry Group375 N Central Ave, Valley Stream, NY 11580
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Long Island Podiatry Group, P.C.'s NPI number?

The NPI number for Long Island Podiatry Group, P.C. is 1184151003. It was assigned to this organization in the NPPES registry on May 23, 2017.

Where is Long Island Podiatry Group, P.C. located?

Long Island Podiatry Group, P.C. is located at 1991 Marcus Ave Ste M103, New Hyde Park, NY 11042. The listed phone number is (516) 327-0074.

What is Long Island Podiatry Group, P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Does Long Island Podiatry Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1014437) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Long Island Podiatry Group, P.C. was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.