Organization provider

LONG ISLAND PODIATRY PC

Primary Podiatric Medicine Podiatrist Medicare enrolled

LONG ISLAND PODIATRY PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063669430, based in Southold, NY. It is classified under Primary Podiatric Medicine Podiatrist.

Getting there

The practice address on file is 56340 MAIN ROAD, Southold, NY 11725. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

56340 MAIN ROAD, Southold, NY 11725 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
N004211 NY Primary Podiatric Medicine Podiatrist primary

This provider holds licence N004211 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6901086834
Enrollment ID
O20150603002063

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Primary Podiatric Medicine covers

Definition to come... NUCC Health Care Provider Taxonomy, code 213EP1101X
Podiatric Medicine & Surgery Service Providers Podiatrist Primary Podiatric Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1063669430 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 27, 2008
Last updatedApr 10, 2013
StatusActive
Practice address 56340 MAIN ROAD
Southold, NY 11725
(631) 765-2772
Mailing address 5 EVELYN DR
Commack, NY 11725
This record was last updated on Apr 10, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063669430 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 6 6 9 4 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 3 6 9 4 6

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063669430?
NPI 1063669430 is the National Provider Identifier assigned to LONG ISLAND PODIATRY PC in Southold, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Primary Podiatric Medicine cover?
Definition to come...
How do I contact LONG ISLAND PODIATRY PC?
The phone number on file with NPPES is (631) 765-2772, last updated Apr 10, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does LONG ISLAND PODIATRY PC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063669430 a valid number?
Yes. 1063669430 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.