JOHN JACKALONE DPM PC NPI 1497805931

NPI Information

NPI: 1497805931
Provider Name: JOHN JACKALONE DPM PC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
4295 HEMPSTEAD TPKE
BETHPAGE, NY
ZIP 11714
Phone: (516) 579-3500
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JOHN JACKALONE DPM PC is a foot surgery podiatrist in Bethpage, NY. JOHN JACKALONE DPM PC NPI is 1497805931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4295 HEMPSTEAD TPKE
BETHPAGE, NY
ZIP 11714-713
Phone: (516) 579-3500
Fax: (516) 579-3802

The provider's authorized official is John Jackalone .
The authorized official title is Owner and has the following contact phone number (516) 579-3500.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 4/28/2008.

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	213ES0131X	Podiatrist	Foot Surgery	N005711	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	1497805931	MEDICARE PIN	NEW 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: 4/28/2024

NPI Synchronization or Removal

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