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Suffolk County Foot Care Pllc

Podiatric Clinic/Center in Kings Park, NY · enumerated 2006 · authorized official Stephen Ravitz, Podiatrist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114023660

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Registry record

Entity type Organization (Type 2)
Legal business name Suffolk County Foot Care Pllc
Practice address 63 Main St, Kings Park, NY, 11754
Fax (631) 269-0801
Enumeration date Sep 15, 2006
Last updated in NPPES Apr 29, 2011

Taxonomy & classification

261QP1100X Podiatric Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Stephen Ravitz
Title Podiatrist

Other identifiers

Identifier Type State Issuer
02216448 Other - CAID
P55031 Other - UNITED HEALTHCARE
01271269 Other - CAID
2154835 Other - UNITED HEALTHCARE
130904 Other - VYTRA
CS267 Other - OXFORD
9653126 Other - GHI
P2654015 Other - OXFORD
01271269 Medicaid NY -
19966 Other - VYTRA
6299184 Other - GHI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Suffolk County Foot Care Pllc?
The NPI for Suffolk County Foot Care Pllc is 1114023660, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Suffolk County Foot Care Pllc?
NPPES lists Stephen Ravitz (Podiatrist) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-29.