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NORTHEAST PODIATRY ASSOC PC
NPI 1417081050
Podiatrist in East Northport, NY

Active since March 15, 2007
1172 5TH AVE, EAST NORTHPORT, NY 11731(631) 266-2220(631) 266-5119 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Northeast Podiatry Assoc Pc NPPES

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

NORTHEAST PODIATRY ASSOC PC (NPI 1417081050) is a healthcare organization registered as a podiatrist in East Northport, New York and active in the NPI registry since March 2007. The organization lists Jeffrey J Cusack, President, as its authorized official.

NPPES Registry Identity

NPI1417081050
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNORTHEAST PODIATRY ASSOC PC
Location Address1172 5TH AVEEast Northport, NY 11731-2631
Mailing Address1172 5th AveEast Northport, NY 11731-2631 · (631) 266-2220 · Fax (631) 266-5119
Phone(631) 266-2220
Fax(631) 266-5119
Organization SubpartNo
Authorized OfficialJeffrey J CusackPresident · (631) 266-2220
Enumeration DateMarch 15, 2007
Last NPPES UpdateMarch 18, 2008
✔ NPI 1417081050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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.
1172 5TH AVE, East Northport, NY 11731
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Other Identifiers 1

Medicare NSC0862390001NY

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

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

MR. JEFFREY J. CUSACK D.P.M.
Podiatrist
1172 5TH AVE
EAST NORTHPORT, NY 11731
Suffolk County (631) 266-2220

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 Northeast Podiatry Assoc PC's NPI number?

The NPI number for Northeast Podiatry Assoc PC is 1417081050. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Northeast Podiatry Assoc PC located?

Northeast Podiatry Assoc PC is located at 1172 5th Ave, East Northport, NY 11731. The listed phone number is (631) 266-2220.

What is Northeast Podiatry Assoc 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 Northeast Podiatry Assoc PC was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.