NORTHPORT PODIATRY PC
NPI 1679745103
Podiatrist - Foot & Ankle Surgery in Northport, NY

Active since March 25, 2008
1032 FORT SALONGA RD, NORTHPORT, NY 11768(631) 754-3338(631) 754-3367 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northport Podiatry Pc NPPES

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

NORTHPORT PODIATRY PC (NPI 1679745103) is a healthcare organization registered as a foot & ankle surgery in Northport, New York and active in the NPI registry since March 2008. The organization lists Denise G Raio, Owner/podiatrist, as its authorized official.

NPPES Registry Identity

NPI1679745103
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameNORTHPORT PODIATRY PC
Location Address1032 FORT SALONGA RDNorthport, NY 11768-2208
Mailing Address1032 Fort Salonga RdNorthport, NY 11768-2208 · (631) 754-3338 · Fax (631) 754-3367
Fax(631) 754-3367
Organization SubpartNo
Authorized OfficialDenise G RaioOwner/podiatrist · (631) 754-3338
Enumeration DateMarch 25, 2008
Last NPPES UpdateFebruary 24, 2010
NPI 1679745103 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 · N005219
1032 FORT SALONGA RD, Northport, NY 11768

Other Identifiers 4

Medicare UPINU57197NY
Other480034015Rr Medicare
Medicaid01573528NY
OtherW3P441NY · Medicare Ptan

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.

Podiatrist
1032 FORT SALONGA RD
NORTHPORT, NY 11768

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 Northport Podiatry PC's NPI number?

The NPI number for Northport Podiatry PC is 1679745103. It was assigned to this organization in the NPPES registry on March 25, 2008.

Where is Northport Podiatry PC located?

Northport Podiatry PC is located at 1032 Fort Salonga Rd, Northport, NY 11768. The listed phone number is (631) 754-3338.

What is Northport Podiatry PC'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 Northport Podiatry PC was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.