Long Island Podiatry PC
NPI 1063669430 · Primary Podiatric Medicine Podiatrist · Southold, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Long Island Podiatry PC is a Primary Podiatric Medicine Podiatrist organization in Southold, NY (NPI 1063669430).
Provider details
- NPI number
- 1063669430
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Michael Brody, President(631) 549-3668
- License
- N004211 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-08-27
- Last updated
- 2013-04-10
Frequently asked questions
- What is Long Island Podiatry PC's NPI number?
- Long Island Podiatry PC's National Provider Identifier (NPI) is 1063669430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Long Island Podiatry PC?
- Long Island Podiatry PC is classified in the NPPES registry as Primary Podiatric Medicine Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Long Island Podiatry PC located?
- Long Island Podiatry PC's practice location on file with NPPES is 56340 Main Road, Southold, NY 11725-3805.
- What is Long Island Podiatry PC's phone number?
- The practice phone number listed in the NPPES registry for Long Island Podiatry PC is (631) 765-2772.
- Does Long Island Podiatry PC accept Medicare?
- Long Island Podiatry PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Long Island Podiatry PC?
- The authorized official listed on Long Island Podiatry PC's NPPES record is Michael Brody, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Long Island Podiatry PC's NPI active?
- Yes — Long Island Podiatry PC's NPI (1063669430) is active in the NPPES registry as of the last update on 2013-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.