PELHAM PODIATRY GROUP PC (NPI# 1013063080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013063080 |
| Entity Type | Organization |
| Organization Name | PELHAM PODIATRY GROUP PC |
| Other Organization Name | ADVANCED FOOT CARE |
| Practice Address |
1015 Morris Park Avenue Bronx NY 10462 |
| Practice Telephone | 7184092121 |
| Practice Fax Number | 7188633666 |
| Mailing Telephone | 7184092121 |
| Mailing Fax Number | 7188633666 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-05-24 |
| Authorized Official Name | DR. CRAIG PRESTON HERMAN (OWNER) |
| Authorized Official Telephone | 7184092121 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
N005627 | NY | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N005627 | NY | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | N005627 | NY | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Advanced Foot Care | Doing Business As Name - Organization |
| Street Address |
1015 MORRIS PARK AVENUE |
| City | BRONX |
| State | NY |
| Zip Code | 10462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616198 | Ark Orthodontics Pllc | Dentist | 1332 Metropolitan Ave A/b, Bronx, NY 10462 | 2019-12-16 |
| 1568007714 | Afrah Saleh Abisse | Student in an Organized Health Care Education/Training Program | 715 Van Nest Ave Apt 2d, Bronx, NY 10462 | 2019-11-12 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1598235467 | Windsor Leasing Corp. | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave., Bronx, NY 10462 | 2018-12-04 |
| 1255807640 | Winchie Do | Pharmacist | 1660 Paulding Ave, Bronx, NY 10462 | 2018-10-23 |
| 1477033843 | Silva Stars Transportation | Non-emergency Medical Transport (VAN) | 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 | 2018-08-15 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1972035749 | Kalor Riley | Occupational Therapy Assistant | 2165 Matthews Ave Apt2h, Bronx, NY 10462 | 2017-03-31 |
| 1992247472 | Jora Mgt, Corp | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave, Bronx, NY 10462 | 2016-11-15 |
| Find all providers in zip 10462 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1871001818 | Kevin Jonathan Roy | Podiatrist | 5958 Delafield Ave, Bronx, NY 10471-1608 | 2018-01-11 |
| 1326454877 | Faysal Eqbal Siddiqui | Podiatrist | 600 East 233 Street, Montefiore Medical Center, Bronx, NY 10466 | 2014-07-05 |
| 1134563885 | Venkata L Durbhaka | Podiatrist | 2024 Creston Avenue, Bronx, NY 10457-4244 | 2013-04-24 |
| 1205153624 | Perfect-foot and Ankle Specialist PC | Podiatrist | 825 Boynton Ave, Suite 1d, Bronx, NY 10473-4758 | 2010-04-24 |
| 1184948176 | Osman D Joasil | Podiatrist | 4334a White Plains Rd, Bronx, NY 10466-3098 | 2010-03-18 |
| 1700062999 | Louis W Jacobs | Podiatrist | 4240 Hutchinson River Pkwy E, 4240 Hutchinson River Pkwy East, Bronx, NY 10475-4746 | 2008-01-17 |
| 1578745261 | Michael Edward Korber | Podiatrist | 120 Gale Place, Apt 513, Bronx, NY 10463-2836 | 2007-12-04 |
| 1265554349 | David E Allan | Podiatrist | 493 E 138 St, Bronx, NY 10454 | 2007-04-06 |
| 1083782247 | Robert David Rampino | Podiatrist | Jacobi Hospital, Bronx, NY 10461 | 2006-12-04 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.