Organization Active NPI

Sage Medispa and Podiatry

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1053591511
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004370-1 Issued in NY
Legal business name
SAGE MEDISPA AND PODIATRY
Practice address
133 Mulberry St Apt 3N
New York, NY 10013-4700
Phone
(212) 334-8213
Fax
(212) 334-8212
NPI assigned
Nov 13, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Pushpa Chauhan, DPMNPI 1093798175
Title
Owner
Phone
(212) 362-7322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N004370-1 NY Primary

Addresses

Primary practice location

133 Mulberry St Apt 3N
New York, NY 10013-4700

Mailing address

133 Mulberry St Apt 3N
New York, NY 10013-4700
Phone (212) 334-8213

National Provider Directory

National Provider Directory

Locations

133 Mulberry St
Apt 3N
New York, NY 10013
Phone (212) 334-8213

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1053591511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MULBERRY ST APT 3N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134700",
            "telephone_number": "212-334-8213",
            "fax_number": "212-334-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MULBERRY ST APT 3N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134700",
            "telephone_number": "212-334-8213",
            "fax_number": "212-334-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MEDISPA AND PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "CHAUHAN",
        "authorized_official_first_name": "PUSHPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-362-7322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004370-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 13, 2007; 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.