Organization Active NPI

Starrett Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1023419264
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005753 Issued in NY
Legal business name
STARRETT PODIATRY, LLC
Practice address
2597 Frederick Douglass Blvd
New York, NY 10030-2105
Phone
(212) 510-7160
Fax
(212) 510-7161
NPI assigned
Sep 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Ms. Yolanda Y Frierson
Title
Practice Admin.
Phone
(212) 534-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N005753 NY Primary

Addresses

Primary practice location

2597 Frederick Douglass Blvd
New York, NY 10030-2105

Mailing address

2597 Frederick Douglas Blvd
New York, NY 10030
UM
Phone (212) 510-7160

Other identifiers 1

IdentifierTypeStateIssuer
02277838MedicaidNY

National Provider Directory

National Provider Directory

Locations

12073 Flatlands Ave
Brooklyn, NY 11207
Phone (718) 257-7700

9700 Church Ave
Brooklyn, NY 11212
Phone (917) 327-6219

1990A Lexington Ave
New York, NY 10035
Phone (212) 534-5009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7845/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1023419264",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2597 FREDERICK DOUGLAS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10030",
            "telephone_number": "212-510-7160",
            "fax_number": "212-510-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2597 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302105",
            "telephone_number": "212-510-7160",
            "fax_number": "212-510-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARRETT PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "FRIERSON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRACTICE ADMIN.",
        "authorized_official_telephone_number": "212-534-5009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02277838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.