Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deer Park South Shore Podiatry PC

Organization Podiatric Clinic/Center · NPI 1821765736

Deer Park South Shore Podiatry PC is a Podiatric Clinic/Center in North Babylon, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1428 Deer Park Ave
North Babylon, NY 11703-1623
Phone: (631) 586-3388
Fax: (631) 586-3394
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatric Clinic/Center (primary) Taxonomy 261QP1100X

Record details

NPI number1821765736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Kim — Owner · (631) 586-3388
NPI enumeratedAugust 27, 2021
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address1428 Deer Park Ave, North Babylon, NY 11703-1623