PARK PLACE PODIATRY PLLC
NPI 1255786331
Podiatrist - Foot Surgery in New York, NY
About Park Place Podiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK PLACE PODIATRY PLLC (NPI 1255786331) is a healthcare organization registered as a foot surgery in New York, New York and active in the NPI registry since April 2016. The organization lists Raphael Lilker, President, 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)
Park Place 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 Park Place 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 Park Place Podiatry PLLC's NPI number?
The NPI number for Park Place Podiatry PLLC is 1255786331. It was assigned to this organization in the NPPES registry on April 26, 2016.
Where is Park Place Podiatry PLLC located?
Park Place Podiatry PLLC is located at 291 Broadway Ste 810, New York, NY 10007. The listed phone number is (212) 484-0922.
What is Park Place Podiatry PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Park Place Podiatry PLLC enrolled in Medicare?
Yes. Park Place Podiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Place Podiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Park Place 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 Park Place Podiatry PLLC was last updated on February 22, 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.
# Park Place Podiatry Pllc · NPI 1255786331
Foot Surgery organization in New York, New York. Organization record, active in the CMS NPPES registry since April 26, 2016.
## Identity
- **NPI:** 1255786331 (Entity type: Organization)
- **Enumerated:** April 26, 2016
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Raphael Lilker, PRESIDENT
## Practice location
- **Address:** 291 BROADWAY STE 810, New York, NY 10007
- **Phone:** (212) 484-0922
## 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:** February 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255786331) · Data from the CMS NPPES public registry.