Individual provider Active NPI

Adam Farley Resnikoff, DPM

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1053480954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004688 Issued in NY
Practice address
481 3Rd Ave
New York, NY 10016-6021
Phone
(212) 679-3338
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
0021318OtherNYGHI
P50912OtherNYBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004688NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown East Podiatry and Foot Surgery L.L.C. CurrentSince Oct 1, 2020 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.

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

Verify at the official NPI Registry.