INNOVATIVE FOOTCARE P.C NPI 1689795890

NPI Information

  • NPI: 1689795890
  • Provider Name: INNOVATIVE FOOTCARE P.C
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 391 E 149TH ST
    BRONX, NY
    ZIP 10455
  • Phone: (718) 292-7081

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NPI Details

INNOVATIVE FOOTCARE P.C is a podiatrist in Bronx, 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. INNOVATIVE FOOTCARE P.C NPI is 1689795890. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

391 E 149TH ST
BRONX, NY
ZIP 10455-907
Phone: (718) 292-7081

The provider's authorized official is Robert Matthew Locastro .
The authorized official title is Doctor and has the following contact phone number (718) 292-7081.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 9/30/2009.

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
1213E00000XPodiatristN004738NEW YORKNo
2213E00000XPodiatristN005916NEW YORKNo
3213E00000XPodiatristN003762NEW 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
1T51215MEDICARE UPINNEW YORK
2P39801MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3PAWD21MEDICARE PINNEW YORK
4PJ1321MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
5U97450MEDICARE UPINNEW YORK
600873914MEDICAIDNEW YORK
7U33877MEDICARE UPINNEW YORK
8P55621MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
95514610001MEDICARE NSCNEW 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: 3/30/2025

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