Individual provider Active NPI

Dora Evegenii Valdberg, D.P.M.

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1023291820
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006233-1 Issued in NY
Practice address
1410 W 3Rd St
Brooklyn, NY 11204-4101
Phone
(718) 837-1031
Fax
(718) 837-1671
NPI assigned
Dec 14, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N006233-1 NY Primary

Addresses

Primary practice location

1410 W 3Rd St
Brooklyn, NY 11204-4101

Mailing address

1410 W 3Rd St
Brooklyn, NY 11204-4101
Phone (718) 837-1031

Other identifiers 1

IdentifierTypeStateIssuer
N006233-1OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080325000289 NY Practitioner - Podiatry 4688750110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3816 Nostrand Ave
Brooklyn, NY 11235-2013
Phone (718) 450-3793

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions61
Removal of nail tissue1096
Removal or shaving of skin growth853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006233NYMDNutritionist
N006233-1NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
D & V Podiatry PC CurrentSince Jan 1, 2009 Accepting new patients
SZS Medical Care PLLC Past Accepting new patients
Collins Wellcare Medical, P.C. Past Accepting new patients

Locations

3816 Nostrand Ave
Brooklyn, NY 11235
Phone (347) 713-6871

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.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023291820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044101",
            "telephone_number": "718-837-1031",
            "fax_number": "718-837-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044101",
            "telephone_number": "718-837-1031",
            "fax_number": "718-837-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDBERG",
        "first_name": "DORA",
        "middle_name": "EVEGENII",
        "name_prefix": "Mrs.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006233-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "N006233-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.