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

South Shore Podiatry, PLLC

Organization Foot Surgery Podiatrist · NPI 1457735094

South Shore Podiatry, PLLC is a Foot Surgery Podiatrist in Massapequa, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Hicksville Rd Ste 2
Massapequa, NY 11758-5819
Phone: (516) 744-0354
Fax: (855) 959-1613
Show map & directions

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

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence N006053-1 (NY)

Record details

NPI number1457735094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mital Patel — Podiatrist · (516) 590-7744
NPI enumeratedJuly 14, 2015
Last updated in NPPESMarch 14, 2016
Mailing address20 Hicksville Rd, Suite 2, Massapequa, NY 11758-5819

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