KINGS HIGHWAY PODIATRY PC NPI 1154691632

NPI Information

  • NPI: 1154691632
  • Provider Name: KINGS HIGHWAY PODIATRY PC
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • Address: 380 AVENUE U
    BROOKLYN, NY
    ZIP 11223
  • Phone: (718) 376-3077

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NPI Details

KINGS HIGHWAY PODIATRY PC is a primary podiatric medicine podiatrist in Brooklyn, NY. KINGS HIGHWAY PODIATRY PC NPI is 1154691632. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

380 AVENUE U
BROOKLYN, NY
ZIP 11223-046
Phone: (718) 376-3077
Fax: (718) 339-4470

The provider's authorized official is Warren Goodman .
The authorized official title is Podiatrist and has the following contact phone number (718) 376-3077.

The enumeration date for this NPI number is 12/30/2011 and was last updated on 2/2/2012.

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
1213EP1101XPodiatristPrimary Podiatric MedicineN003926NEW 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: 3/30/2025

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