National Provider Identifier Database

MARJORIE RAVITZ, DPM – NPI #1255421442
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

MARJORIE RAVITZ, DPM
260 MIDDLE COUNTRY ROAD
STE 104
SMITHTOWN, NY11787
Phone: 631-724-1166
Fax: 631-724-4130
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for MARJORIE RAVITZ

NPI Number 1255421442
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/16/2006
Last updated 09/15/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • NY License #: N4126
  • NY Medicaid: 01470451
  • NY Other: 4227812 AETNA
  • NY Other: PM2951 BLUE CROSS
  • NY Other: 2420175005 CIGNA
  • NY Other: 0406805 GHI
  • NY Other: 1C0990 HEALTHNET
  • NY Other: 6C7212 HEALTHNET
  • NY Other: 36835P HIP
  • NY Other: CS989 OXFORD
  • NY Other: P3916310 OXFORD
  • NY Other: 10645 VYTRA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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