| Dr Nachum Pelcovitz, DPM | |
|
183 Wildacre Ave, Lawrence, NY 11559-1414 | |
| (516) 239-8300 | |
| (516) 371-9418 |
| Full Name | Dr Nachum Pelcovitz |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 183 Wildacre Ave, Lawrence, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619975943 | NPI | - | NPPES |
| 0586102 | Medicaid | NJ | |
| 00792609 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | N3598 (New York) | Primary |
| 213E00000X | Podiatrist | P00384 (Connecticut) | Secondary |
| 213E00000X | Podiatrist | 25MD00179200 (New Jersey) | Secondary |
| Provider Name | Phase Two Podiatry Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821333063 PECOS PAC ID: 2961641824 Enrollment ID: O20150908001025 |
| Provider Name | Medical Director Services Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20171219003461 |
| Provider Name | Podiatry Company Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457931610 PECOS PAC ID: 5890103097 Enrollment ID: O20241022003412 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nachum Pelcovitz, DPM 183 Wildacre Ave, Lawrence, NY 11559-1414 Ph: (516) 239-8300 | Dr Nachum Pelcovitz, DPM 183 Wildacre Ave, Lawrence, NY 11559-1414 Ph: (516) 239-8300 |
Dr. Debra L Breitman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 135 Rockaway Tpke Ste 107, Lawrence, NY 11559 Phone: 516-239-7400 Fax: 516-400-9039 | |
Tristate Podiatry P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 183 Wildacre Ave, Lawrence, NY 11559 Phone: 516-239-8300 Fax: 516-371-9418 | |
Dr. Howard Saul Miller, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 8 Ventana Ct, Lawrence, NY 11559 Phone: 917-662-6072 |