ADVANCED PODIATRY ASSOCIATES OF THE HUDSON VALLEY LLP - NPI NUMBER 1053697219

Summary

Provider Name: ADVANCED PODIATRY ASSOCIATES OF THE HUDSON VALLEY LLP

NPI Number: 1053697219

Clasification: Podiatrist (213ES0103X)

Specialization: Foot & Ankle Surgery

Address:
1007 ROUTE 82
HOPEWELL JUNCTION, NY
ZIP 12533

Phone Number: (845) 279-2367



Detailed Information

ADVANCED PODIATRY ASSOCIATES OF THE HUDSON VALLEY LLP is a foot & ankle surgeon podiatrist in Hopewell Junction, NY. The assigned NPI number for this provider is 1053697219 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

1007 ROUTE 82
HOPEWELL JUNCTION, NY
ZIP 12533-165
Phone: (845) 279-2367
Fax: (845) 279-6216

The provider's authorized official is Matthew Ciccone .
The authorized official title is Chief Operating Officer and has the following contact phone number (845) 561-7646.

The enumeration date for this NPI number is 11/1/2011 and was last updated on 4/2/2014.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1619049855 BRIAN M READE, DPM
Podiatrist (Primary Podiatric Medicine)
1568534709 CASABIANCA KYROU DPM PC
Podiatrist
1154422897 CHRISTOS KYROU, DPM
Podiatrist (Primary Podiatric Medicine)
1649278862 DR. JOSEPH PAUL GABRYSZEWSKI, DPM
Podiatrist
1881854966 FOOT SPECIALIST ASSOCIATES P.C.
Podiatrist (Foot & Ankle Surgery)
1386077964 DR. KAROL J KAWALEC, DPM
Podiatrist (Foot & Ankle Surgery)
1104020122 FOOT SPECIALIST ASSOCIATES, P.C.
Podiatrist

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 213ES0103X Podiatrist Foot & Ankle Surgery NY No
2 213ES0131X Podiatrist Foot Surgery NY No
3 213E00000X Podiatrist NY Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 A100060974 MEDICARE PIN NY

NPI Record

No. Field Name Field Value
1 NPI 1053697219
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name ADVANCED PODIATRY ASSOCIATES OF THE HUDSON VALLEY LLP
5 Provider First Line Business Practice Location Address 1007 ROUTE 82
6 Provider Business Practice Location Address City Name HOPEWELL JUNCTION
7 Provider Business Practice Location Address State Name NY
8 Provider Business Practice Location Address Postal Code 125336165
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 8452792367
11 Provider Business Practice Location Address Fax Number 8452796216
12 Provider Enumeration Date 11/1/2011
13 Last Update Date 4/2/2014
14 Authorized Official Last Name CICCONE
15 Authorized Official First Name MATTHEW
16 Authorized Official Title or Position CHIEF OPERATING OFFICER
17 Authorized Official Telephone Number 8455617646
18 Healthcare Provider Taxonomy Code 1 213ES0103X
19 Provider License Number State Code 1 NY
20 Healthcare Provider Primary Taxonomy Switch 1 N
21 Healthcare Provider Taxonomy Code 2 213ES0131X
22 Provider License Number State Code 2 NY
23 Healthcare Provider Primary Taxonomy Switch 2 N
24 Healthcare Provider Taxonomy Code 3 213E00000X
25 Provider License Number State Code 3 NY
26 Healthcare Provider Primary Taxonomy Switch 3 Y
27 Other Provider Identifier 1 A100060974
28 Other Provider Identifier Type Code 1 08
29 Other Provider Identifier State 1 NY
30 Is Organization Subpart N
31 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP
32 Healthcare Provider Taxonomy Group 2 193200000X MULTI-SPECIALTY GROUP
33 Healthcare Provider Taxonomy Group 3 193200000X MULTI-SPECIALTY GROUP

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.