Individual provider Active NPI

Duan Zhang

  • Foot & Ankle Surgery Podiatrist
  • Port Jefferson Station, NY
National Provider Identifier
1013571520
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N007238-01 Issued in NY
Practice address
1 Medical Dr Ste B
Port Jefferson Station, NY 11776-1599
Phone
(631) 928-8383
NPI assigned
Apr 30, 2019
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Podiatrist 213E00000X N007238-01 NY
Primary Podiatric Medicine Podiatrist 213EP1101X N007238-01 NY
Radiology Podiatrist 213ER0200X N007238-01 NY
Sports Medicine Podiatrist 213ES0000X N007238-01 NY
Foot & Ankle Surgery Podiatrist 213ES0103X N007238-01 NY Primary
Foot Surgery Podiatrist 213ES0131X N007238-01 NY

Addresses

Primary practice location

1 Medical Dr Ste B
Port Jefferson Station, NY 11776-1599

Mailing address

7501 167TH St
Fresh Meadows, NY 11366-1326
Phone (917) 981-7693

Other practice location 1

550 1st Ave
New York, NY 10016-6402
Phone (212) 263-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228000517 NY Practitioner - Podiatry 0547595944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louis R. Macdonald, DPM, PCGroup PAC ID 8820201031, 6 clinicians

Practice addresses (Care Compare)

1 Medical Dr
Suite B
Port Jefferson Station, NY 11776-1599
Phone (631) 928-8383

225 Montauk Hwy
Suite 113
Moriches, NY 11955-1411
Phone (631) 878-3330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue52
Removal of skin lesions31
Removal of nail tissue981
Removal or shaving of skin growth479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007238NYMDAcupuncturist
N007238-01NYMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louis R. Macdonald, DPM, PC Podiatrist CurrentSince Sep 9, 2022 Accepting new patients
Family Foot Care of Long Island, PLLC Podiatrist CurrentSince Sep 9, 2022 Accepting new patients
Family Foot Care of Long Island, PLLC Podiatrist CurrentSince Sep 9, 2022 Accepting new patients

Locations

225 Montauk Hwy
Ste 113
Moriches, NY 11955
Phone (631) 878-3330

1 Medical Dr
Ste B
Port Jefferson Station, NY 11776
Phone (631) 928-8383

Interoperability endpoints

  • Direct secure messaging: duan.zhang.1@27969.direct.athenahealth.com
  • Direct secure messaging: dzhang299458@nyumc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1013571520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 167TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661326",
            "telephone_number": "917-981-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR STE B",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761599",
            "telephone_number": "631-928-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "DUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N007238-01",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N007238-01",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NY",
            "license": "N007238-01",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "N007238-01",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007238-01",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N007238-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.