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SUFFOLK COUNTY FOOT CARE PLLC
NPI 1770754020
Podiatrist in Kings Park, NY

Active since March 14, 2008
63 MAIN ST, KINGS PARK, NY 11754(631) 269-4600(631) 269-0801 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Suffolk County Foot Care Pllc NPPES

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

SUFFOLK COUNTY FOOT CARE PLLC (NPI 1770754020) is a healthcare organization registered as a podiatrist in Kings Park, New York and active in the NPI registry since March 2008. The organization lists Stephen Bradley Ravitz, Dpm, as its authorized official.

NPPES Registry Identity

NPI1770754020
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSUFFOLK COUNTY FOOT CARE PLLC
Location Address63 MAIN STKings Park, NY 11754-2706
Mailing Address63 Main StKings Park, NY 11754-2706 · (631) 269-4600 · Fax (631) 269-0801
Phone(631) 269-4600
Fax(631) 269-0801
Organization SubpartNo
Authorized OfficialStephen Bradley RavitzDpm · (631) 269-4600
Enumeration DateMarch 14, 2008
Last NPPES UpdateFebruary 4, 2014
✔ NPI 1770754020 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.
63 MAIN ST, Kings Park, NY 11754
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Other Identifiers 1

Medicare NSC0478480001NY

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.

SUFFOLK COUNTY FOOT CARE PLLC
Clinic/Center (Podiatric)
63 MAIN ST
KINGS PARK, NY 11754
Suffolk County (631) 269-4600

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 Suffolk County Foot Care PLLC's NPI number?

The NPI number for Suffolk County Foot Care PLLC is 1770754020. It was assigned to this organization in the NPPES registry on March 14, 2008.

Where is Suffolk County Foot Care PLLC located?

Suffolk County Foot Care PLLC is located at 63 Main St, Kings Park, NY 11754. The listed phone number is (631) 269-4600.

What is Suffolk County Foot Care PLLC'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 Suffolk County Foot Care PLLC was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.