LONG ISLAND PODIATRY PC
NPI 1063669430
Podiatrist - Primary Podiatric Medicine in Southold, NY

NPI Status: Active since August 27, 2008

Contact Information

56340 MAIN ROAD
SOUTHOLD, NY
ZIP 11725
Phone: (631) 765-2772

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  • Organization
  • Podiatrist
  • Primary Podiatric Medicine

About LONG ISLAND PODIATRY PC

This page provides the complete NPI Profile along with additional information for Long Island Podiatry Pc, a provider established in Southold, New York operating as a Podiatrist, focusing in primary podiatric medicine . The healthcare provider is registered in the NPI registry with number 1063669430 assigned on August 2008. The practitioner's primary taxonomy code is 213EP1101X with license number N004211 (NY). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Michael Lawrence Brody Dpm (President)

NPI
1063669430
Provider Name
LONG ISLAND PODIATRY PC
Entity Type
Organization
Location Address
56340 MAIN ROAD SOUTHOLD, NY 11725
Location Phone
(631) 765-2772
Mailing Address
5 EVELYN DR COMMACK, NY 11725
Mailing Phone
(631) 549-3668
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2008
Last Update Date
04-10-2013
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A podiatrist like Long Island Podiatry Pc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Primary Podiatric Medicine

Taxonomy Code
213EP1101X
Type
Podiatric Medicine & Surgery Service Providers
License No.
N004211
License State
NY

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHAEL LAWRENCE BRODY DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(631) 549-3668

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3902290001MEDICARE NSC (07)NY 
3902290001MEDICARE PIN (08)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063669430
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231261846
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 6 + 1 + 8 + 4 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1063669430 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063669430, enumerated in the NPI registry as an "organization" on August 27, 2008

The provider is located at 56340 Main Road Southold, Ny 11725 and the phone number is (631) 765-2772

This medical organization specializes in Podiatrist with taxonomy code 213EP1101X with a focus in Primary Podiatric Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 27, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.