Brooklyn Podiatry Consultant PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BROOKLYN PODIATRY CONSULTANT PLLC

Practice address

608 Prescott PL
Valley Stream, NY 11581-3034

Phone

(718) 500-3338

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

David SimonNPI 1780869578

Title

DPM

Phone

(718) 500-3338

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David H. Simon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1780869578
  NPD Authorized official

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1063107357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 PRESCOTT PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 PRESCOTT PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813034",
            "telephone_number": "718-500-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PODIATRY CONSULTANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "718-500-3338"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.