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SOUTH SHORE PODIATRY, PLLC
NPI 1457735094
Podiatrist - Foot Surgery in Massapequa, NY

Active since July 14, 2015
20 HICKSVILLE RD, SUITE 2, MASSAPEQUA, NY 11758(516) 744-0354(855) 959-1613 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2016, Sep 28, 2015 (2 updates tracked since 2015).

About South Shore Podiatry, Pllc NPPES

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

SOUTH SHORE PODIATRY, PLLC (NPI 1457735094) is a healthcare organization registered as a foot surgery in Massapequa, New York and active in the NPI registry since July 2015. The organization lists Mital B Patel, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1457735094
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameSOUTH SHORE PODIATRY, PLLC
Location Address20 HICKSVILLE RD, SUITE 2Massapequa, NY 11758-5819
Mailing Address20 Hicksville Rd, Suite 2Massapequa, NY 11758-5819 · (516) 744-0354 · Fax (855) 959-1613
Phone(516) 744-0354
Fax(855) 959-1613
Organization SubpartNo
Authorized OfficialMital B PatelPodiatrist · (516) 590-7744
Enumeration DateJuly 14, 2015
Last NPPES UpdateMarch 14, 20162 updates tracked since enumeration
✔ NPI 1457735094 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 · N006053-1
20 HICKSVILLE RD, Massapequa, NY 11758
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Other Identifiers 4

OtherA100127791NY · Medicare Ptan
OtherPK6781NY · Medicare
Medicaid02669029NY
Medicare NSC7479080001NY

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 12

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

MARJORIE J ISDITH DO PC
Family Medicine
20 HICKSVILLE RD, SUITE 5
MASSAPEQUA, NY 11758
Nassau County (516) 795-5700
ROBERT MUCCIOLO MD PC
Urology
20 HICKSVILLE RD, SUITE 3
MASSAPEQUA, NY 11758
Nassau County (516) 541-5500
KATHERINE ANN CARROLL PA-C
Physician Assistant
20 HICKSVILLE RD, SUITE 2
MASSAPEQUA, NY 11758
Nassau County (516) 799-7500
MRS. JENNIE LEE FARACI LCSW
Social Worker (Clinical)
20 HICKSVILLE RD, SUITE 5
MASSAPEQUA, NY 11758
Nassau County (631) 807-7937
WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.
Urology
20 HICKSVILLE RD, SUITE 3
MASSAPEQUA, NY 11758
Nassau County (516) 541-5500
LOCK AND KEY THERPAY, LCSW, PLLC
Social Worker (Clinical)
20 HICKSVILLE RD, SUITE 5
MASSAPEQUA, NY 11758
Nassau County (917) 403-3267
ALYSE KATHLEEN MIDDENORF
Social Worker
20 HICKSVILLE RD
MASSAPEQUA, NY 11758
Nassau County (516) 524-4468
PECONIC UROLOGY P.C.
Urology
20 HICKSVILLE RD, SUITE 3
MASSAPEQUA, NY 11758
Nassau County (516) 541-5500

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 South Shore Podiatry, PLLC's NPI number?

The NPI number for South Shore Podiatry, PLLC is 1457735094. It was assigned to this organization in the NPPES registry on July 14, 2015.

Where is South Shore Podiatry, PLLC located?

South Shore Podiatry, PLLC is located at 20 Hicksville Rd Suite 2, Massapequa, NY 11758. The listed phone number is (516) 744-0354.

What is South Shore Podiatry, PLLC'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 South Shore Podiatry, PLLC was last updated on March 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.