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DEER PARK SOUTH SHORE PODIATRY PC
NPI 1821765736
Clinic/Center - Podiatric in North Babylon, NY

Active since August 27, 2021
1428 DEER PARK AVE, NORTH BABYLON, NY 11703(631) 586-3388(631) 586-3394 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deer Park South Shore Podiatry Pc NPPES

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

DEER PARK SOUTH SHORE PODIATRY PC (NPI 1821765736) is a healthcare organization registered as a podiatric in North Babylon, New York and active in the NPI registry since August 2021. The organization lists Ronald Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1821765736
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameDEER PARK SOUTH SHORE PODIATRY PC
Location Address1428 DEER PARK AVENorth Babylon, NY 11703-1623
Mailing Address1428 Deer Park AveNorth Babylon, NY 11703-1623 · (631) 586-3388 · Fax (631) 586-3394
Phone(631) 586-3388
Fax(631) 586-3394
Organization SubpartNo
Authorized OfficialRonald KimOwner · (631) 586-3388
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1821765736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
1428 DEER PARK AVE, North Babylon, NY 11703
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Other Providers at the Same Location NPPES 4

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

JAMES J GOETZ
Podiatrist (Foot & Ankle Surgery)
1428 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 586-3388
JAMES GOETZ
Podiatrist
1428 DEER PARK AVE
N BABYLON, NY 11703
Suffolk County (631) 586-3388
DEER PARK PODIATRY
Podiatrist (Primary Podiatric Medicine)
1428 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 586-3388
DR. RONALD KIM DPM
Podiatrist (Foot & Ankle Surgery)
1428 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 586-3388

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 Deer Park South Shore Podiatry PC's NPI number?

The NPI number for Deer Park South Shore Podiatry PC is 1821765736. It was assigned to this organization in the NPPES registry on August 27, 2021.

Where is Deer Park South Shore Podiatry PC located?

Deer Park South Shore Podiatry PC is located at 1428 Deer Park Ave, North Babylon, NY 11703. The listed phone number is (631) 586-3388.

What is Deer Park South Shore Podiatry PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Deer Park South Shore Podiatry PC was last updated on August 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.