Individual provider Active NPI

Corinne R Kauderer, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1033112248
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003940 Issued in NY
Practice address
7713 13TH Ave
Brooklyn, NY 11228-2413
Phone
(718) 232-2100
Fax
(718) 236-2020
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X N003940 NY
Pain Medicine Physician 208VP0000X N003940 NY
Foot Surgery Podiatrist 213ES0131X N003940 NY Primary
Foot Surgery Podiatrist 213ES0131X 25MD00276700 NJ

Addresses

Primary practice location

7713 13TH Ave
Brooklyn, NY 11228-2413

Mailing address

7713 13TH Ave
Brooklyn, NY 11228-2413
Phone (718) 232-2100

Other identifiers 1

IdentifierTypeStateIssuer
00904430-4MedicaidNY

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
I20080811000431 NJ Practitioner - Podiatry 8426122367 Reassigns benefits to 1 organization
I20101213000195 NY Practitioner - Podiatry 8426122367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Hospital PLZ
Suite 204
Old Bridge, NJ 08857-3084
Phone (732) 414-1150

7713 13TH Ave
Brooklyn, NY 11228-2413
Phone (718) 232-2100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue89
Removal of skin lesions12
Removal of nail tissue40
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003940NYMDBehavioral Analyst
25MD00276700NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Corinne Kauderer DPM, LLC CurrentSince Feb 15, 2013 Accepting new patients
Corinne Kauderer DPM PLLC CurrentSince Jan 22, 2013 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

15 S Main St
Ste 1
Marlboro, NJ 07746
Phone (732) 414-1150

3 Hospital Plz
Ste 204
Old Bridge, NJ 08857
Phone (732) 360-9200

7713 13th Ave
Brooklyn, NY 11228
Phone (718) 232-2100

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: corinnekauderer@mai.allscriptsdirect.net

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1033112248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282413",
            "telephone_number": "718-232-2100",
            "fax_number": "718-236-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7713 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282413",
            "telephone_number": "718-232-2100",
            "fax_number": "718-236-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUDERER",
        "first_name": "CORINNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "N003940",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "N003940",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003940",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00276700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00904430-4",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.