Deer Park South Shore Podiatry PC
NPI 1821765736 · Podiatric Clinic/Center · North Babylon, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deer Park South Shore Podiatry PC is a Podiatric Clinic/Center organization in North Babylon, NY (NPI 1821765736).
Provider details
- NPI number
- 1821765736
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Kim, Owner(631) 586-3388
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2021-08-27
- Last updated
- 2021-08-27
- Certified
- 2021-08-27
Frequently asked questions
- What is Deer Park South Shore Podiatry PC's NPI number?
- Deer Park South Shore Podiatry PC's National Provider Identifier (NPI) is 1821765736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deer Park South Shore Podiatry PC?
- Deer Park South Shore Podiatry PC is classified in the NPPES registry as Podiatric Clinic/Center (Ambulatory Health Care Facilities).
- Where is Deer Park South Shore Podiatry PC located?
- Deer Park South Shore Podiatry PC's practice location on file with NPPES is 1428 Deer Park Ave, North Babylon, NY 11703-1623.
- What is Deer Park South Shore Podiatry PC's phone number?
- The practice phone number listed in the NPPES registry for Deer Park South Shore Podiatry PC is (631) 586-3388.
- Does Deer Park South Shore Podiatry PC accept Medicare?
- Deer Park South Shore 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 Deer Park South Shore Podiatry PC?
- The authorized official listed on Deer Park South Shore Podiatry PC's NPPES record is Ronald Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deer Park South Shore Podiatry PC's NPI active?
- Yes — Deer Park South Shore Podiatry PC's NPI (1821765736) is active in the NPPES registry as of the last update on 2021-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.