NORTH SHORE PODIATRIC MEDICINE & SURGERY, P.C.
NPI 1891994091
Podiatrist in New Hyde Park, NY

Active since July 17, 2007
410 LAKEVILLE RD, SUITE 303, NEW HYDE PARK, NY 11042(516) 326-4709(516) 326-8968 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About North Shore Podiatric Medicine & Surgery, P.c. NPPES

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

NORTH SHORE PODIATRIC MEDICINE & SURGERY, P.C. (NPI 1891994091) is a healthcare organization registered as a podiatrist in New Hyde Park, New York and active in the NPI registry since July 2007. The organization lists Robert Woltman, President, as its authorized official.

NPPES Registry Identity

NPI1891994091
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNORTH SHORE PODIATRIC MEDICINE & SURGERY, P.C.
Location Address410 LAKEVILLE RD, SUITE 303New Hyde Park, NY 11042-1101
Mailing Address410 Lakeville Rd, Suite 303New Hyde Park, NY 11042-1101 · (516) 326-4709 · Fax (516) 326-8968
Fax(516) 326-8968
Organization SubpartNo
Authorized OfficialRobert WoltmanPresident · (516) 326-4709
Enumeration DateJuly 17, 2007
Last NPPES UpdateJuly 15, 2008
✔ NPI 1891994091 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.
410 LAKEVILLE RD, New Hyde Park, NY 11042

Other Identifiers 1

Medicare NSC5022770001NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore Podiatric Medicine & Surgery, P.c. 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 North Shore Podiatric Medicine & Surgery, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1386723088
2035 LAKEVILLE RD STE 207
New Hyde Park, NY 11040
(516) 326-4709
✔ PECOS✔ Accepts Medicare0.5 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 North Shore Podiatric Medicine & Surgery, P.C.'s NPI number?

The NPI number for North Shore Podiatric Medicine & Surgery, P.C. is 1891994091. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is North Shore Podiatric Medicine & Surgery, P.C. located?

North Shore Podiatric Medicine & Surgery, P.C. is located at 410 Lakeville Rd Suite 303, New Hyde Park, NY 11042. The listed phone number is (516) 326-4709.

What is North Shore Podiatric Medicine & Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is North Shore Podiatric Medicine & Surgery, P.C. enrolled in Medicare?

Yes. North Shore Podiatric Medicine & Surgery, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Podiatric Medicine & Surgery, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to North Shore Podiatric Medicine & Surgery, P.C.. 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 North Shore Podiatric Medicine & Surgery, P.C. was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.