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 | 213EP0504X | Podiatrist | Public Medicine | 006353 | NEW YORK | No |
| 2 | 213EP1101X | Podiatrist | Primary Podiatric Medicine | 006353 | NEW YORK | No |
| 3 | 213ER0200X | Podiatrist | Radiology | 006353 | NEW YORK | No |
| 4 | 213ES0000X | Podiatrist | Sports Medicine | 006353 | NEW YORK | No |
| 5 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | 006353 | NEW YORK | No |
| 6 | 213ES0131X | Podiatrist | Foot Surgery | 006353 | NEW YORK | No |
| 7 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | 25MD00302800 | NEW JERSEY | No |
| 8 | 213ES0131X | Podiatrist | Foot Surgery | 25MD00302800 | NEW JERSEY | No |
| 9 | 213EP1101X | Podiatrist | Primary Podiatric Medicine | 25MD00302800 | NEW JERSEY | No |
| 10 | 213EP0504X | Podiatrist | Public Medicine | 25MD00302800 | NEW JERSEY | No |
| 11 | 213ER0200X | Podiatrist | Radiology | 25MD00302800 | NEW JERSEY | No |
| 12 | 213ES0000X | Podiatrist | Sports Medicine | 25MD00302800 | NEW JERSEY | No |
| 13 | 213E00000X | Podiatrist | | 25MD00302800 | NEW JERSEY | No |
| 14 | 213E00000X | Podiatrist | | 006353 | NEW YORK | Yes |