SURGICAL PODIATRY PC NPI 1902353394

NPI Information

  • NPI: 1902353394
  • Provider Name: SURGICAL PODIATRY PC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 9 BRIDLE PATH DR
    OLD WESTBURY, NY
    ZIP 11568
  • Phone: (917) 328-9321

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NPI Details

SURGICAL PODIATRY PC is a podiatrist in Old Westbury, 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. SURGICAL PODIATRY PC NPI is 1902353394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 BRIDLE PATH DR
OLD WESTBURY, NY
ZIP 11568-607
Phone: (917) 328-9321

The provider's authorized official is Mcelvin Pope .
The authorized official title is President and has the following contact phone number (917) 328-9321.

The enumeration date for this NPI number is 9/2/2016 and was last updated on 9/2/2016.

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
1213E00000XPodiatrist006621NEW 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

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