ELIZABETH ANN HAENI DPM PC
NPI 1538976907
Clinic/Center - Podiatric in Northport, NY
About Elizabeth Ann Haeni Dpm Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH ANN HAENI DPM PC (NPI 1538976907) is a healthcare organization registered as a podiatric in Northport, New York and active in the NPI registry since December 2024. The organization lists Elizabeth Ann Haeni, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Ann Haeni Dpm Pc 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 Elizabeth Ann Haeni DPM PC, 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 Elizabeth Ann Haeni Dpm PC's NPI number?
The NPI number for Elizabeth Ann Haeni Dpm PC is 1538976907. It was assigned to this organization in the NPPES registry on December 18, 2024.
Where is Elizabeth Ann Haeni Dpm PC located?
Elizabeth Ann Haeni Dpm PC is located at 50 Meadow Glen Rd, Northport, NY 11768. The listed phone number is (631) 262-0849.
What is Elizabeth Ann Haeni Dpm PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Elizabeth Ann Haeni Dpm PC enrolled in Medicare?
Yes. Elizabeth Ann Haeni Dpm PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elizabeth Ann Haeni Dpm PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Elizabeth Ann Haeni Dpm PC. 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 Elizabeth Ann Haeni Dpm PC was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Elizabeth Ann Haeni Dpm Pc · NPI 1538976907
Podiatric organization in Northport, New York. Organization record, active in the CMS NPPES registry since December 18, 2024.
## Identity
- **NPI:** 1538976907 (Entity type: Organization)
- **Enumerated:** December 18, 2024
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Haeni, PRESIDENT
## Practice location
- **Address:** 50 MEADOW GLEN RD, Northport, NY 11768-2711
- **Phone:** (631) 262-0849
## 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:** December 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1538976907) · Data from the CMS NPPES public registry.