INNOVATIVE FOOTCARE P.C (NPI# 1689795890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689795890 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE FOOTCARE P.C |
| Practice Address |
391 E 149th St Bronx NY 10455-3907 |
| Practice Telephone | 7182927081 |
| Mailing Telephone | 7182927081 |
| Mailing Fax Number | 7182927094 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | DR. ROBERT MATTHEW LOCASTRO (DOCTOR) |
| Authorized Official Telephone | 7182927081 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | N004738 | NY | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | N005916 | NY | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | N003762 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00873914 | 05 |
| Street Address |
391 E 149TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10455-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700874336 | Dario Roman Castellanos | Internal Medicine | 391 E 149th St, Suite #214, Bronx, NY 10455-3907 | 2005-10-07 |
| 1114480894 | Carolyn Charley | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2019-04-10 |
| 1114489085 | Kimone Valesha Mullings-greenlees | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2019-04-01 |
| 1780153825 | Jordany J Fernandez | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2018-11-19 |
| 1801361605 | Rina Jimenez | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2018-10-08 |
| 1447750799 | Yolanda Denise Haynesworth | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2018-02-13 |
| 1245748532 | Kevin Bernard Rodriguez I | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2018-01-20 |
| 1255849857 | Lirose Supreme-edouard | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2018-01-17 |
| 1386151496 | Angel Joshua Bermudez | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2018-01-10 |
| 1679086680 | Irene Alvarez | Case Manager/Care Coordinator | 391 E 149th St, Bronx, NY 10455-3907 | 2017-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946331 | Nutrished Dietitian Nutrition Solutions, P.C. | Dietitian, Registered | 2825 Third Ave Suite #301, Bronx, NY 10455 | 2020-09-15 |
| 1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
| 1669973285 | Uhc Adult Day Program & Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 368, East 149th Street Suite 3a, Bronx, NY 10455 | 2018-02-28 |
| 1578061206 | Ursula Ma Stafford | Case Management | 391 East 149 St, Suite 417, Bronx, NY 10455 | 2018-01-29 |
| 1942714506 | Chantal J George | Case Manager/Care Coordinator | 391 East 149th Street, 417, Bronx, NY 10455 | 2017-11-18 |
| 1598295800 | Sonrisa Corp | Pharmacy | 755b East 149th St, Bronx, NY 10455 | 2017-06-19 |
| 1962931378 | Josepjh Appau | Licensed Practical Nurse | 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 | 2017-06-08 |
| 1295187664 | Leticia Robles | Social Worker | 480 Concord Avenue Apt#3j, Bronx, NY 10455 | 2016-07-08 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in zip 10455 | ||||
| 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.