| Dr Nachum Pelcovitz, DPM | |
| 183 Wildacre Ave, Lawrence, NY 11559-1414 | |
| (516) 239-8300 | |
| (516) 371-9418 | 
| Full Name | Dr Nachum Pelcovitz | 
|---|---|
| Gender | Male | 
| Speciality | Podiatrist | 
| Location | 183 Wildacre Ave, Lawrence, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619975943 | NPI | - | NPPES | 
| 0586102 | Medicaid | NJ | |
| 00792609 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | N3598 (New York) | Primary | 
| 213E00000X | Podiatrist | P00384 (Connecticut) | Secondary | 
| 213E00000X | Podiatrist | 25MD00179200 (New Jersey) | Secondary | 
| Provider Name | Phase Two Podiatry Pc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1821333063 PECOS PAC ID: 2961641824 Enrollment ID: O20150908001025 | 
| Provider Name | Medical Director Services Pc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20171219003461 | 
| Provider Name | Podiatry Company Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1457931610 PECOS PAC ID: 5890103097 Enrollment ID: O20241022003412 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nachum Pelcovitz, DPM 183 Wildacre Ave, Lawrence, NY 11559-1414 Ph: (516) 239-8300 | Dr Nachum Pelcovitz, DPM 183 Wildacre Ave, Lawrence, NY 11559-1414 Ph: (516) 239-8300 | 
| Dr. Debra L Breitman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 135 Rockaway Tpke Ste 107, Lawrence, NY 11559 Phone: 516-239-7400 Fax: 516-400-9039 | |
| Tristate Podiatry P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 183 Wildacre Ave, Lawrence, NY 11559 Phone: 516-239-8300 Fax: 516-371-9418 | |
| Dr. Howard Saul Miller, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 8 Ventana Ct, Lawrence, NY 11559 Phone: 917-662-6072 |