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SHADOW PODIATRY
NPI 1396113692
Podiatrist - Foot & Ankle Surgery in New York, NY

Active since September 03, 2015
26 BROADWAY, NEW YORK, NY 10004(646) 551-6663 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shadow Podiatry NPPES

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

SHADOW PODIATRY (NPI 1396113692) is a healthcare organization registered as a foot & ankle surgery in New York, New York and active in the NPI registry since September 2015. The organization lists Daniel Basalely, Doctor Of Podiatric Medicine, as its authorized official.

NPPES Registry Identity

NPI1396113692
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSHADOW PODIATRY
Location Address26 BROADWAYNew York, NY 10004-1703
Mailing Address14431 70th RdFlushing, NY 11367-1717
Phone(646) 551-6663
Organization SubpartNo
Authorized OfficialDaniel BasalelyDoctor Of Podiatric Medicine · (646) 551-6663
Enumeration DateSeptember 3, 2015
✔ NPI 1396113692 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
License✔ Licensed in NY · 006679
26 BROADWAY, New York, NY 10004
Open in Google Maps ↗

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 9

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

DR. JACOB NACHUM O.D.
Optometrist
26 BROADWAY, SUITE 908
NEW YORK, NY 10004
New York County (212) 425-2115
DR. RICHARD ALAN INSEL M.D.
Allergy & Immunology
26 BROADWAY, 14TH FLOOR
NEW YORK, NY 10004
New York County (212) 479-7604
ARTHUR ROSENBAUM DPM
Podiatrist
26 BROADWAY, SUITE 739
NEW YORK, NY 10004
New York County (212) 480-1983
ORNATONO SERVICES, LLC
Home Health
26 BROADWAY, 8TH FLOOR (PRIMARY) SUITE 844
NEW YORK, NY 10004
New York County (212) 430-6862
LAURA ELLEN QUINN MA,CCC-SLP
Speech-Language Pathologist
26 BROADWAY
NEW YORK, NY 10004
New York County (646) 826-8100
OLGA WHYTE RN
Registered Nurse (Community Health)
26 BROADWAY
NEW YORK, NY 10004
New York County (212) 430-6862
JACOB NACHUM OD PC
Durable Medical Equipment & Medical Supplies
26 BROADWAY, SUITE 908
NEW YORK, NY 10004
New York County (212) 425-2115
AFFILIATED UNIVERSAL PODIATRY PLLC
Podiatrist (Foot & Ankle Surgery)
26 BROADWAY, SUITE 739
NEW YORK, NY 10004
New York County (212) 480-1983

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 Shadow Podiatry's NPI number?

The NPI number for Shadow Podiatry is 1396113692. It was assigned to this organization in the NPPES registry on September 3, 2015.

Where is Shadow Podiatry located?

Shadow Podiatry is located at 26 Broadway, New York, NY 10004. The listed phone number is (646) 551-6663.

What is Shadow Podiatry's specialty?

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

When was this NPI record last updated?

The NPPES record for Shadow Podiatry was last updated on September 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.