Dr. John Joseph Kolberg
Podiatrist Sports Medicine Foot Surgery Foot & Ankle Surgery and 1 more
265 Post Ave Suite 220
Westbury
, New York 11590-2233
Dr. John Joseph Kolberg
Podiatrist Sports Medicine Foot Surgery Foot & Ankle Surgery and 1 more
265 Post Ave Suite 220
Westbury
, New York 11590-2233
(516) 338-4043
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Sports Medicine
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. John Joseph Kolberg
- 265 Post Ave Suite 220
- Westbury, NY
- Zip : 11590-2233
- Fax : (516) 338-4043
- Phone : (516) 338-8802
Second Address
- Dr. John Joseph Kolberg
- 265 Post Ave Suite 220
- Westbury, NY
- Zip : 11590-2233
- Fax : (516) 338-4043
- Phone : (516) 338-8802
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | N005450 | NY |
| N | 222Z00000X | Podiatrist | N005450 | NY |
| N | 213EP1101X | Primary Podiatric Medicine | N005450 | NY |
| N | 2081S0010X | Sports Medicine | N005450 | NY |
| N | 213ES0000X | Sports Medicine | N005450 | NY |
| N | 213ES0103X | Foot & Ankle Surgery | N005450 | NY |
| Y | 213ES0131X | Foot Surgery | N005450 | NY |
National Provider Identifier
| NPI | 1578564894 |
|---|---|
| Provider Name | Dr. John Joseph Kolberg |
| First Address | Westbury, NY 11590-2233 |
| Second Address | Westbury, NY 11590-2233 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2005 |
| Last Update Date | 17/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01882686 | (05) | NY |
| PA5491 | MEDICARE (01) | NY |
| U71786 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.