Lynbrook Podiatry PLLC
NPI 1114790870 · Foot & Ankle Surgery Podiatrist · Lynbrook, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lynbrook Podiatry PLLC is a Foot & Ankle Surgery Podiatrist organization in Lynbrook, NY (NPI 1114790870).
Provider details
- NPI number
- 1114790870
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Eugene Kim, Owner(516) 599-5688
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
2 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
- 2023-11-03
- Last updated
- 2023-11-03
- Certified
- 2023-11-03
Frequently asked questions
- What is Lynbrook Podiatry PLLC's NPI number?
- Lynbrook Podiatry PLLC's National Provider Identifier (NPI) is 1114790870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lynbrook Podiatry PLLC?
- Lynbrook Podiatry PLLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Lynbrook Podiatry PLLC located?
- Lynbrook Podiatry PLLC's practice location on file with NPPES is 215 Atlantic Ave, Lynbrook, NY 11563-3567.
- What is Lynbrook Podiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lynbrook Podiatry PLLC is (516) 599-5688.
- Does Lynbrook Podiatry PLLC accept Medicare?
- Lynbrook Podiatry PLLC 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 Lynbrook Podiatry PLLC?
- The authorized official listed on Lynbrook Podiatry PLLC's NPPES record is Eugene Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lynbrook Podiatry PLLC's NPI active?
- Yes — Lynbrook Podiatry PLLC's NPI (1114790870) is active in the NPPES registry as of the last update on 2023-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.