OrganizationActive
David J. Ellenbogen Podiatry, PC
NPI 1558799502 · Podiatrist · Commack, NY
David J. Ellenbogen Podiatry, PC is a Podiatrist organization in Commack, NY (NPI 1558799502).
Provider details
- NPI number
- 1558799502
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- David Ellenbogen, President(631) 543-8844
- License
- N006125 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
358 Veterans Memorial Hwy
#11
Commack, NY 11725-4326
Phone: (631) 543-8844
Fax: (631) 543-8840
Approximate (ZIP-level) locationGet directions
Mailing address
358 Veterans Memorial Hwy
Commack, NY 11725-4326
Other names (DBA / former)
- Doing business as
- Long Island Foot and Ankle
Registry dates
- Enumerated
- 2013-10-29
- Last updated
- 2013-11-05
Frequently asked questions
- What is David J. Ellenbogen Podiatry, PC's NPI number?
- David J. Ellenbogen Podiatry, PC's National Provider Identifier (NPI) is 1558799502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is David J. Ellenbogen Podiatry, PC?
- David J. Ellenbogen Podiatry, PC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is David J. Ellenbogen Podiatry, PC located?
- David J. Ellenbogen Podiatry, PC's practice location on file with NPPES is 358 Veterans Memorial Hwy, Commack, NY 11725-4326.
- What is David J. Ellenbogen Podiatry, PC's phone number?
- The practice phone number listed in the NPPES registry for David J. Ellenbogen Podiatry, PC is (631) 543-8844.
- Who is the authorized official for David J. Ellenbogen Podiatry, PC?
- The authorized official listed on David J. Ellenbogen Podiatry, PC's NPPES record is David Ellenbogen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is David J. Ellenbogen Podiatry, PC's NPI active?
- Yes — David J. Ellenbogen Podiatry, PC's NPI (1558799502) is active in the NPPES registry as of the last update on 2013-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.