SOUTHSIDE PODIATRY PC
NPI 1205968799
Podiatrist in Brooklyn, NY

Q: What is Southside Podiatry PC's NPI number?

The NPI number for Southside Podiatry PC is 1205968799. It was assigned to this organization in the NPPES registry on March 10, 2007.

Q: What is Southside Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since March 10, 2007

903 E 82ND ST, BROOKLYN, NY 11236(718) 241-2000(718) 241-5281 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southside Podiatry Pc NPPES

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

SOUTHSIDE PODIATRY PC (NPI 1205968799) is a healthcare organization registered as a podiatrist in Brooklyn, New York and active in the NPI registry since March 2007. The organization lists Mark Elliott Hupart, Dpm/president, as its authorized official.

NPPES Registry Identity

NPI1205968799

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameSOUTHSIDE PODIATRY PC

Location Address903 E 82ND STBrooklyn, NY 11236

Mailing Address903 E 82nd StBrooklyn, NY 11236-3811 · (718) 241-2000 · Fax (718) 241-5281

Phone(718) 241-2000

Fax(718) 241-5281

Organization SubpartNo

Authorized OfficialMark Elliott HupartDpm/president · (718) 241-2000

Enumeration DateMarch 10, 2007

Last NPPES UpdateJuly 19, 2010

✔ NPI 1205968799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Licenses✔ Licensed in NY · N004686✔ Licensed in NY · N002003-1

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

903 E 82ND ST, Brooklyn, NY 11236

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Other Identifiers 5

Medicaid01180363NY

Medicare PINP5W621NY

Medicare ID-Type UnspecifiedP5W62NY

Medicare UPINU18041NY

Medicaid01522036NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KIMBERLY MALARBE RN

Registered Nurse

903 E 82ND ST
BROOKLYN, NY 11236

Kings County (347) 721-4736

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 Southside Podiatry PC's NPI number?

The NPI number for Southside Podiatry PC is 1205968799. It was assigned to this organization in the NPPES registry on March 10, 2007.

Where is Southside Podiatry PC located?

Southside Podiatry PC is located at 903 E 82nd St, Brooklyn, NY 11236. The listed phone number is (718) 241-2000.

What is Southside Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Southside Podiatry PC was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.