FOOTCARE PODIATRY PC
NPI 1881766137
Specialist in New York, NY

Active since November 14, 2006
309 E 104TH ST, NEW YORK, NY 10029(212) 289-3388 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Footcare Podiatry Pc NPPES

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

FOOTCARE PODIATRY PC (NPI 1881766137) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since November 2006. The organization lists Stephen J Bennett, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1881766137
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFOOTCARE PODIATRY PC
Location Address309 E 104TH STNew York, NY 10029-5514
Mailing Address309 E 104th StNew York, NY 10029-5514
Organization SubpartNo
Authorized OfficialStephen J BennettSole Proprietor · (212) 289-3388
Enumeration DateNovember 14, 2006
Last NPPES UpdateDecember 21, 2010
✔ NPI 1881766137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · N005097
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
309 E 104TH ST, New York, NY 10029

Other Identifiers 4

Medicare NSC5016590001
Medicare UPINU47719NY
Medicare ID-Type UnspecifiedPG4482NY
Medicaid01814768NY

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Footcare Podiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20101214000670Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Footcare Podiatry PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1467524702
309 E 104TH ST
New York, NY 10029
(212) 289-3388
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1407910292
8010 4TH AVE
Brooklyn, NY 11209
(718) 883-1600
✔ PECOS✔ Accepts Medicare12 mi

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 Footcare Podiatry PC's NPI number?

The NPI number for Footcare Podiatry PC is 1881766137. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Footcare Podiatry PC located?

Footcare Podiatry PC is located at 309 E 104th St, New York, NY 10029. The listed phone number is (212) 289-3388.

What is Footcare Podiatry PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Footcare Podiatry PC enrolled in Medicare?

Yes. Footcare Podiatry PC is registered in the Medicare PECOS enrollment system.

When is Footcare Podiatry PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Footcare Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Footcare Podiatry 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Footcare Podiatry PC was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.