Provider Type Icon

COMPREHENSIVE PODIATRIC CARE LLC NPI 1588751119


NPI Information

NPI: 1588751119
Provider Name: COMPREHENSIVE PODIATRIC CARE LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
935 NORTHERN BLVD
SUITE 107
GREAT NECK, NY
ZIP 11021
Phone: (516) 627-5775
Get Directions

COMPREHENSIVE PODIATRIC CARE LLC is a podiatrist in Great Neck, 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. COMPREHENSIVE PODIATRIC CARE LLC NPI is 1588751119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

935 NORTHERN BLVD
SUITE 107
GREAT NECK, NY
ZIP 11021-309
Phone: (516) 627-5775
Fax: (516) 627-6259

The provider's authorized official is Brian P. Lynn .
The authorized official title is Owner and has the following contact phone number (516) 627-5775.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 11/15/2007.


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
1213E00000XPodiatristN005264-1NEW 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
17102352OTHERNEW YORKAETNA PPO
20914058OTHERNEW YORKAETNA HMO
34425420001MEDICARE NSCNEW YORK
4108081POTHERNEW YORKHIP
5PG6691OTHERNEW YORKEMPIRE BCBS
6PLW681MEDICARE ID-TYPE UNSPECIFIEDNEW YORKPODIATRIST
7P2577825OTHERNEW YORKOXFORD
8MDNYOTHERNEW YORKAA71987

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

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.