SHANNON ROESCH, DPM PC
NPI 1235296526
Podiatrist - Foot Surgery in Floral Park, NY

Active since January 03, 2007
242 JERICHO TPKE, FLORAL PARK, NY 11001(516) 488-6290(516) 488-3172 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2019, Nov 7, 2019 (2 updates tracked since 2019).

About Shannon Roesch, Dpm Pc NPPES

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

SHANNON ROESCH, DPM PC (NPI 1235296526) is a healthcare organization registered as a foot surgery in Floral Park, New York and active in the NPI registry since January 2007. The organization lists Shannon Roesch, Dr, as its authorized official.

NPPES Registry Identity

NPI1235296526
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameSHANNON ROESCH, DPM PC
Location Address242 JERICHO TPKEFloral Park, NY 11001-2147
Mailing Address242 Jericho TpkeFloral Park, NY 11001-2147 · (516) 488-6290 · Fax (516) 488-3172
Fax(516) 488-3172
Organization SubpartNo
Authorized OfficialShannon RoeschDr · (516) 488-6290
Enumeration DateJanuary 3, 2007
Last NPPES UpdateDecember 30, 20192 updates tracked since enumeration
NPI 1235296526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in NY · N005991
242 JERICHO TPKE, Floral Park, NY 11001

Other Identifiers 8

OtherPL2751NY · Blue Cross Blue Shield
Other00599165NYNY · 1199
Other7444873NY · Aetna
OtherP3722100NY · Oxford
Other0151722NY · Ghi
OtherN005991NY · Hip
Other1779083NY · Cigna
Other6C1150NY · Healthnet

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 5

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

Chiropractor
242 JERICHO TPKE
FLORAL PARK, NY 11001
Chiropractor
242 JERICHO TPKE
FLORAL PARK, NY 11001
Speech-Language Pathologist
242 JERICHO TPKE
FLORAL PARK, NY 11001
Chiropractor
242 JERICHO TPKE
FLORAL PARK, NY 11001
Podiatrist (Foot & Ankle Surgery)
242 JERICHO TPKE
FLORAL PARK, NY 11001

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 Shannon Roesch, Dpm PC's NPI number?

The NPI number for Shannon Roesch, Dpm PC is 1235296526. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Shannon Roesch, Dpm PC located?

Shannon Roesch, Dpm PC is located at 242 Jericho Tpke, Floral Park, NY 11001. The listed phone number is (516) 488-6290.

What is Shannon Roesch, Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Shannon Roesch, Dpm PC was last updated on December 30, 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.