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

Dr. Keith Bortniker, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508116823

Dr. Keith Bortniker, DPM is a Podiatry in West Nyack, New York. Graduated from New York College of Podiatric Medicine in 2012, 14 years ago. Practices with Centerock Podiatry Associates, PC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2 Crosfield Ave Ste 302
West Nyack, NY 10994-2218
Phone: (845) 358-2844
Fax: (845) 358-0528
Show map & directions

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

Additional practice locations (1)

  • 600 E 233rd St, Bronx, NY 10466-2604 — (718) 920-9000

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence NY-N006715-1 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508116823
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedSeptember 13, 2012
Last updated in NPPESAugust 17, 2018
Mailing address59 S Constitution Dr, Tappan, NY 10983-1622

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Centerock Podiatry Associates, Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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