MODERN PODIATRIC CARE P.C NPI 1023299674

NPI Information

  • NPI: 1023299674
  • Provider Name: MODERN PODIATRIC CARE P.C
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 9204 SPRINGFIELD BLVD
    QUEENS VILLAGE, NY
    ZIP 11428
  • Phone: (718) 465-3040

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NPI Details

MODERN PODIATRIC CARE P.C is a podiatrist in Queens Village, NY. The provider is 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. MODERN PODIATRIC CARE P.C NPI is 1023299674. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9204 SPRINGFIELD BLVD
QUEENS VILLAGE, NY
ZIP 11428-857
Phone: (718) 465-3040

The provider's authorized official is Michael C. Nwakanma .
The authorized official title is Physican and has the following contact phone number (718) 465-3040.

The enumeration date for this NPI number is 11/23/2007 and was last updated on 1/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1213E00000XPodiatrist005629NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PUW071MEDICARE PINNEW YORK
2U76147MEDICARE UPINNEW YORK
301984110MEDICAIDNEW YORK
407583MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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