Individual provider Active NPI

Jarret Drucker, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1023457488
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
65006766 Issued in NY
Practice address
121 E 60TH St
Apt 3D
New York, NY 10022-1164
Phone
(212) 486-7333
Fax
(212) 486-7555
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 65006766 NY Primary

Addresses

Primary practice location

121 E 60TH St
Apt 3D
New York, NY 10022-1164

Mailing address

121 E 60TH St
Apt 3D
New York, NY 10022-1164
Phone (212) 486-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160901001233 NJ Practitioner - Podiatry 7315233244 Reassigns benefits to 1 organization
Practice locations: Fair Lawn, NJ
I20160914001319 NY Practitioner - Podiatry 7315233244 Reassigns benefits to 1 organization
Practice locations: Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

121 E 60TH St
Apt 3D
New York, NY 10022-1164
Phone (516) 486-7333

15 -01 Pollitt Dr
Suite 8B
Fair Lawn, NJ 07410-2769
Phone (212) 486-7333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)30
Removal of tissue57
Removal of skin lesions1-10
Removal of nail tissue353
Removal or shaving of skin growth221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006766NYMDMental Health Counselor
65006766NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jarret Drucker Podiatry, P.C. Foot & Ankle Surgery CurrentSince Oct 15, 2016 Accepting new patients
Dr. Jarret B. Drucker Podiatry PC Foot & Ankle Surgery CurrentSince Sep 19, 2016 Accepting new patients
Nyc Advanced Footcare PC Past Accepting new patients

Locations

15-01 Pollitt Dr
Ste 8B
Fair Lawn, NJ 07410
Phone (201) 773-6537

184 E 70th St
Ste B1
New York, NY 10021
Phone (212) 737-2270

121 E 60th St
Apt 3D
New York, NY 10022
Phone (212) 486-7333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1023457488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST",
            "address_2": "APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221164",
            "telephone_number": "212-486-7333",
            "fax_number": "212-486-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST",
            "address_2": "APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221164",
            "telephone_number": "212-486-7333",
            "fax_number": "212-486-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCKER",
        "first_name": "JARRET",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "65006766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.