LONG ISLAND PODIATRY GROUP, P.C. (NPI# 1437255353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437255353 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND PODIATRY GROUP, P.C. |
| Other Organization Name | CENTRAL PODIATRY ASSOC |
| Practice Address |
375 N Central Ave Valley Stream NY 11580-1134 |
| Practice Telephone | 5168254070 |
| Practice Fax Number | 5168251508 |
| Mailing Telephone | 5168254070 |
| Mailing Fax Number | 5165682318 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-01-22 |
| Authorized Official Name | RUSSELL CAPRIOLI (OWNER) |
| Authorized Official Telephone | 5165682319 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N003712 | NY | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Central Podiatry Assoc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184151003 | Long Island Podiatry Group, P.C. | Podiatrist | 1991 Marcus Ave, Lake Success, NY 11042-1104 | 2017-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LONG ISLAND PODIATRY GROUP, P.C. | 375 N Central Avenue, Valley Stream, New York 11580 |
| Street Address |
375 N CENTRAL AVE |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194758839 | Mary Ann Bilotti | Podiatrist | 375 N Central Ave, Valley Stream, NY 11580 | 2006-07-08 |
| 1679507792 | Russell Caprioli | Podiatrist | 375 N Central Ave, Valley Stream, NY 11580 | 2006-07-11 |
| 1023043049 | John Haight | Podiatrist | 375 N Central Ave, Valley Stream, NY 11580 | 2006-07-11 |
| 1770516437 | Marzana Mleczko | Podiatrist | 375 N Central Ave, Valley Stream, NY 11580 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| 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 |
|---|---|---|---|---|
| 1194758839 | Mary Ann Bilotti | Podiatrist | 375 N Central Ave, Valley Stream, NY 11580 | 2006-07-08 |
| 1033189667 | William James Mcshane | Podiatrist | 66 W Merrick Rd, Valley Stream, NY 11580-5707 | 2006-01-25 |
| 1417472143 | Sunrise Podiatry PC | Podiatrist | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2017-08-03 |
| 1003244138 | Innovation Wound Care Associates, LLC | Podiatrist | 20 E Sunrise Hwy, Suite 301, Valley Stream, NY 11581-1260 | 2013-10-29 |
| 1073718441 | Martin J Kobak | Podiatrist | 241 Rockaway Ave, Valley Stream, NY 11580-5827 | 2007-06-18 |
| 1386861086 | Stephen Aron | Podiatrist | 241 Rockaway Ave, Valley Stream, NY 11580-5827 | 2007-04-20 |
| 1497817209 | Andrew Shapiro Dpm & Michael Barkin Dpm, LLP | Podiatrist | 66 W Merrick Rd, Ste 101, Valley Stream, NY 11580-5707 | 2006-12-15 |
| 1144306119 | Michael David Barkin | Podiatrist | 66 W Merrick Rd, Suite 101, Valley Stream, NY 11580-5707 | 2006-10-31 |
| 1215019161 | Andrew Shapiro | Podiatrist | 66 W Merrick Rd, Suite 101, Valley Stream, NY 11580-5707 | 2006-10-19 |
| 1295843456 | Gary B. Feldman | Podiatrist | 260 W Sunrise Hwy, Suite 111, Valley Stream, NY 11581-1015 | 2006-08-28 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
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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.