NORTHEAST FOOT CARE PODIATRY PC (NPI# 1689164584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689164584 |
| Entity Type | Organization |
| Organization Name | NORTHEAST FOOT CARE PODIATRY PC |
| Practice Address |
16 Seminara Cir Garnerville NY 10923 |
| Mailing Address |
16 Seminara Cir Garnerville NY 10923-1736 |
| Practice Telephone | 8456414783 |
| Mailing Telephone | 8456414783 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Authorized Official Name | MONICA J MONTALVO (PODIATRIST) |
| Authorized Official Telephone | 8456414783 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
N006820 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE | A400176602 | 01 |
| NY | 04816428 | 05 |
| Street Address |
16 SEMINARA CIR |
| City | GARNERVILLE |
| State | NY |
| Zip Code | 10923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760785182 | Gloria Jusino-montalvo | Social Worker | 16 Seminara Cir, Garnerville, NY 10923-1736 | 2010-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417285222 | Andrew Michael Pereira | Specialist | 46 W Ramapo Rd, Garnerville, NY 10923 | 2009-12-07 |
| 1952638090 | Sean Ambrey | Occupational Therapist | 10 Grove St, Garnerville, NY 10923 | 2009-11-10 |
| 1205075330 | Haverstraw Pharmacy Inc | Pharmacy | 124 E Ramapo Road, Garnerville, NY 10923 | 2009-02-12 |
| 1073703195 | Christine Marie Matushefske | Social Worker | 21 F Hasbrouck Rd, Garnerville, NY 10923 | 2007-07-25 |
| 1093937088 | Cherrylene Rodrigo Contreras | Registered Nurse | 16 Hasbrouck Road, Apt. C, Garnerville, NY 10923 | 2007-05-02 |
| 1942399282 | Warren Andrew Cohen | Pharmacist | 150 West Railroad Ave, Garnerville, NY 10923 | 2006-10-12 |
| 1710074075 | Daniel Harold Cohen | Pediatrics | 171 Ramapo Road, Daniel Cohen Md North Rockland Pediatric Assoc, Garnerville, NY 10923 | 2006-10-06 |
| 1780799569 | Inserra Supermarket Inc | Pharmacy | 56 Ramapo Road, Garnerville, NY 10923 | 2006-08-20 |
| 1710480371 | Johanne Leveille | Registered Nurse | 66 Cleary Ct, Garnerville, NY 10923 | 2018-03-09 |
| 1356543151 | William B Goldman | Dentist | 171 Ramapo Rd, Low Tor Professional Center Route 202, Garnerville, NY 10923 | 2007-06-04 |
| Find all providers in zip 10923 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053952671 | Cesare Gaspari Dpm Pllc | Clinic/Center | 5316 Roosevelt Ave Ste 2, Woodside, NY 11377-4239 | 2019-10-04 |
| 1962980219 | Universal Footcare LLC | Clinic/Center | 123 W 20th St # 1w, New York, NY 10011-3639 | 2018-07-30 |
| 1558729665 | Filton LLC | Clinic/Center | 3079 Brighton 13th St Fl 1, Brooklyn, NY 11235-5607 | 2016-02-03 |
| 1851772511 | Wyckoff Heights Medical Center | Clinic/Center | 43 Powers St # 1, Brooklyn, NY 11211-3514 | 2015-06-17 |
| 1962826768 | Tunde Osofisan, Dpm P.C. | Clinic/Center | 295 Throop Ave, 1b, Brooklyn, NY 11206-7121 | 2014-02-13 |
| 1154750834 | Mark Morano Dpm PC | Clinic/Center | 1505b Mermaid Avenue, Brooklyn, NY 11224 | 2013-11-04 |
| 1952749293 | Dr. Yang Foot & Ankle Surgery P.C. | Clinic/Center | 56 Oconnor Ave, Staten Island, NY 10314-2164 | 2013-06-10 |
| 1598015216 | Sacada Foot Care PC. | Clinic/Center | 85 Avenue O, Brooklyn, NY 11204-6542 | 2012-09-11 |
| 1912262924 | Westpod | Clinic/Center | 421 Huguenot St Fl 5, New Rochelle, NY 10801-7004 | 2012-07-06 |
| 1598047789 | Forward Footcare Podiatry, P.C. | Clinic/Center | 3044 Steinway St, 2nd Fl, Astoria, NY 11103-3802 | 2011-09-13 |
| Find all providers with the same taxonomy | ||||
| City | GARNERVILLE |
| Zip Code | 10923 |
Please comment or provide details below to improve the information on NORTHEAST FOOT CARE PODIATRY 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.