Active NPI
Adam Farley Resnikoff, DPM
- Foot Surgery Podiatrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N004688
- Practice address
- 481 3Rd Ave
New York, NY 10016-6021 - Phone
- (212) 679-3338
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N004688 | NY | Primary |
Addresses
Primary practice location
481 3Rd Ave
New York, NY 10016-6021
Mailing address
481 3Rd Ave
New York, NY 10016-6021
Phone (212) 679-3338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021318 | Other | NY | GHI |
| P50912 | Other | NY | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070314000243 | NY | Practitioner - Podiatry | 2961505854 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 E 46TH St
FL 9
New York, NY 10017-9249
Phone (212) 679-3338
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004688 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midtown East Podiatry and Foot Surgery L.L.C. | Current | Accepting new patients | |
| Rehab Specialists PT, P.C | Past | Accepting new patients | |
| Ron Lev, M.D., P.C. | Past | Accepting new patients |
Locations
20 E 46th St
Fl 9
New York, NY 10017
Phone (212) 404-8090
230 E 48th St
Apt 1B
New York, NY 10017
Phone (212) 679-3338
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.
-
- Podiatrist
- New York, NY
- NPI 1285137430
-
- Physical Therapy Clinic/Center
- East Rockaway, NY
- NPI 1285938589
-
dba Sleep Anesthesia Associates
- Hospice and Palliative Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1568675965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053480954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166021",
"telephone_number": "212-679-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166021",
"telephone_number": "212-679-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESNIKOFF",
"first_name": "ADAM",
"middle_name": "FARLEY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N004688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0021318",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P50912",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.