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DEER PARK PODIATRY
NPI 1205472818
Podiatrist - Primary Podiatric Medicine in North Babylon, NY

Active since November 19, 2019
1428 DEER PARK AVE, NORTH BABYLON, NY 11703(631) 586-3388(631) 586-3388 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deer Park Podiatry NPPES

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

DEER PARK PODIATRY (NPI 1205472818) is a healthcare organization registered as a primary podiatric medicine in North Babylon, New York and active in the NPI registry since November 2019. The organization lists Michele Ahmadi, Owner, as its authorized official.

NPPES Registry Identity

NPI1205472818
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameDEER PARK PODIATRY
Location Address1428 DEER PARK AVENorth Babylon, NY 11703-1623
Mailing Address1428 Deer Park AveNorth Babylon, NY 11703-1623 · (631) 586-3388 · Fax (631) 586-3388
Phone(631) 586-3388
Fax(631) 586-3388
Organization SubpartNo
Authorized OfficialMichele AhmadiOwner · (631) 586-3388
Enumeration DateNovember 19, 2019
✔ NPI 1205472818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
1428 DEER PARK AVE, North Babylon, NY 11703
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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 4

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

JAMES J GOETZ
Podiatrist (Foot & Ankle Surgery)
1428 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 586-3388
DR. RONALD KIM DPM
Podiatrist (Foot & Ankle Surgery)
1428 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 586-3388
DEER PARK SOUTH SHORE PODIATRY PC
Clinic/Center (Podiatric)
1428 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 586-3388
JAMES GOETZ
Podiatrist
1428 DEER PARK AVE
N BABYLON, NY 11703
Suffolk County (631) 586-3388

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 Deer Park Podiatry's NPI number?

The NPI number for Deer Park Podiatry is 1205472818. It was assigned to this organization in the NPPES registry on November 19, 2019.

Where is Deer Park Podiatry located?

Deer Park Podiatry is located at 1428 Deer Park Ave, North Babylon, NY 11703. The listed phone number is (631) 586-3388.

What is Deer Park Podiatry's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Deer Park Podiatry was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.