NEW IMAGE PODIATRY P.C. NPI 1952314148

NPI Information

NPI: 1952314148
Provider Name: NEW IMAGE PODIATRY P.C.
Classification: Podiatrist - 213ES0131X
Specialization: Foot Surgery
Entity Type: Organization
Address: 6143 JERICHO TPKE
SUITE 102
COMMACK, NY
ZIP 11725
Phone: (631) 864-7380

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NPI Details

NEW IMAGE PODIATRY P.C. is a foot surgery podiatrist in Commack, NY. NEW IMAGE PODIATRY P.C. NPI is 1952314148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6143 JERICHO TPKE
SUITE 102
COMMACK, NY
ZIP 11725-809
Phone: (631) 864-7380
Fax: (631) 864-7381

The provider's authorized official is Luis A Vidal .
The authorized official title is Podiatrist and has the following contact phone number (631) 864-7380.

The enumeration date for this NPI number is 8/15/2006 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	N006167	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	02832759	MEDICAID	NEW YORK
2	PDWF01	OTHER	NEW YORK	NATIONAL GOVERNMENT SERVICES(EMPIRE)
3	07800	OTHER	NEW YORK	MEDICARE GHI

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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