SHADOW PODIATRY NPI 1396113692

NPI Information

  • NPI: 1396113692
  • Provider Name: SHADOW PODIATRY
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 26 BROADWAY
    NEW YORK, NY
    ZIP 10004
  • Phone: (646) 551-6663

Map and Directions

Get Directions

NPI Details

SHADOW PODIATRY is a foot and ankle surgery podiatrist in New York, NY. SHADOW PODIATRY NPI is 1396113692. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

26 BROADWAY
NEW YORK, NY
ZIP 10004-703
Phone: (646) 551-6663

The provider's authorized official is Daniel Basalely .
The authorized official title is Doctor Of Podiatric Medicine and has the following contact phone number (646) 551-6663.

The enumeration date for this NPI number is 9/3/2015 and was last updated on 9/3/2015.

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
1213ES0103XPodiatristFoot & Ankle Surgery006679NEW YORKYes

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

NPI Synchronization or Removal

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.