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

Shannon Roesch, DPMPC

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1992876239

Shannon Roesch, DPMPC is a Podiatry in Floral Park, New York. Graduated from New York College of Podiatric Medicine in 2002, 24 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
24
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2006

Practice location Address checks out

242 Jericho Tpke
Floral Park, NY 11001-2147
Phone: (516) 488-6290
Fax: (516) 488-3172
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence N005991 (NY)

Record details

NPI number1992876239
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPMPC
Sole proprietorYes
NPI enumeratedNovember 10, 2006
Last updated in NPPESDecember 30, 2019
Certification dateDecember 30, 2019

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Floral Park