ELLIOT T UDELL DPM PC (NPI# 1316115561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316115561 |
| Entity Type | Organization |
| Organization Name | ELLIOT T UDELL DPM PC |
| Practice Address |
120 Bethpage Rd Suite 206 Hicksville NY 11801-1515 |
| Practice Telephone | 5169351113 |
| Mailing Telephone | 5169351113 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | DR. ELLIOT T UDELL (DR.) |
| Authorized Official Telephone | 5169351113 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
002768 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | WYTX31 | 01 |
| Street Address |
120 BETHPAGE RD SUITE 206 |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453571 | Harshit M Patel | Allergy & Immunology | 120 Bethpage Rd, Suite 310, Hicksville, NY 11801-1515 | 2005-08-10 |
| 1245728658 | Moms Ob-gyn PC | Obstetrics & Gynecology | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2018-05-01 |
| 1265976120 | Katherine Alexis Athanasiou | Physician Assistant | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2016-12-12 |
| 1982010286 | Stephanie K. Becker M.d. PC | Specialist | 120 Bethpage Rd, Suite 102, Hicksville, NY 11801-1515 | 2014-07-08 |
| 1538573043 | Michelle Lee Regan | Physician Assistant | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2014-06-12 |
| 1114266962 | Tri- Borough Certified Health Systems of New York. LLC | Home Health | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2013-02-13 |
| 1801167945 | Rona Marc | Physician Assistant | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2012-01-20 |
| 1528342425 | Sun Endoscopy Pllc | Clinic/Center | 120 Bethpage Rd, Suite 204b, Hicksville, NY 11801-1515 | 2011-10-11 |
| 1962781716 | Ambka Sabiki | Physician Assistant | 120 Bethpage Rd, Suite 310, Hicksville, NY 11801-1515 | 2011-08-11 |
| 1639461437 | Florante Melchor Md Facp Pllc | Internal Medicine | 120 Bethpage Rd, Suite 305, Hicksville, NY 11801-1515 | 2011-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289452 | Good Align Podiatry Pllc | Podiatrist | 16 W 32nd St Ste 1001, New York, NY 10001-3852 | 2019-11-13 |
| 1386286532 | Power Podiatry PC | Podiatrist | 1900 Avenue W Apt 3j, Brooklyn, NY 11229-4738 | 2019-10-09 |
| 1841848777 | New York Foot and Ankle Podiatry, Pllc | Podiatrist | 115 Broadway Fl 18, New York, NY 10006-1604 | 2019-09-04 |
| 1588220412 | Anbinder Podiatrist P.C. | Podiatrist | 2930 W 5th St Apt 12c, Brooklyn, NY 11224-3950 | 2019-05-16 |
| 1477067452 | Akselrud Podiatry Care PC | Podiatrist | 2671 E 64th St Fl 2, Brooklyn, NY 11234-6815 | 2017-11-28 |
| 1780127456 | Larrie Rockmacher Dpm LLC | Podiatrist | 272 N Bedford Road, Suite 201, Mount Kisco, NY 10549-1168 | 2016-11-29 |
| 1508241852 | Peachtree Podiatry,pllc | Podiatrist | 45 S Grove St Apt 1, East Aurora, NY 14052-2365 | 2015-07-29 |
| 1407269590 | Yolanda Stahl Dpm PC | Podiatrist | 1457 Merrick Ave, Merrick, NY 11566 | 2014-06-05 |
| 1093132953 | Andrea Schulman | Podiatrist | 2040 Ryder St, Brooklyn, NY 11234-5024 | 2014-03-27 |
| 1497185508 | Good News Podiatry Pllc | Podiatrist | 4227 164th St # 3, Flushing, NY 11358-2619 | 2013-11-26 |
| Find all providers with the same taxonomy | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
Please comment or provide details below to improve the information on ELLIOT T UDELL DPM PC.
| 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.