TRISTATE PODIATRY P.C. NPI 1376628073

NPI Information

NPI: 1376628073
Provider Name: TRISTATE PODIATRY P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
183 WILDACRE AVE
LAWRENCE, NY
ZIP 11559
Phone: (516) 239-8300
Get Directions

TRISTATE PODIATRY P.C. is a podiatrist in Lawrence, 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. TRISTATE PODIATRY P.C. NPI is 1376628073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

183 WILDACRE AVE
LAWRENCE, NY
ZIP 11559-414
Phone: (516) 239-8300
Fax: (516) 371-9418

The provider's authorized official is Nachum Pelcovitz .
The authorized official title is President and has the following contact phone number (516) 239-8300.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 1/8/2010.

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
1	213E00000X	Podiatrist		N003598-1	NEW YORK	Yes

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
1	3071917	MEDICAID	CONNECTICUT
2	9073205	MEDICAID	NEW JERSEY
3	T51124	MEDICARE UPIN	NEW YORK
4	PNW671	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	EMPIRE NY
5	059213	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	EMPIRE NJ
6	P37231	MEDICARE PIN	NEW YORK
7	06862	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	GHI
8	P00195914	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	RAILROAD
9	00792609	MEDICAID	NEW YORK
10	C03246	MEDICARE PIN	CONNECTICUT

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: 5/5/2024

NPI Synchronization or Removal

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