Progressive Podiatry, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PROGRESSIVE PODIATRY, PLLC

Practice address

2352 Ralph Ave
Brooklyn, NY 11234-5515

Phone

(718) 251-0200

Fax

(718) 209-5697

NPI assigned

Nov 17, 2008

Last updated

Apr 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Evan Breth, DPMNPI 1023097052

Title

Owner

Phone

(718) 251-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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.

• Evan Breth, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1023097052
  Medicare reassignment NPD Authorized official
• Neha Khanna, DPM

  • Foot & Ankle Surgery Podiatrist
  • New Hyde Park, NY
  • NPI 1437492162
  Medicare reassignment NPD

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1073767190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345515",
            "telephone_number": "718-251-0200",
            "fax_number": "718-209-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345515",
            "telephone_number": "718-251-0200",
            "fax_number": "718-209-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "BRETH",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-251-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03425601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Progressive Healthcare Medicine PC
• Progressive Hematology and Oncology PLLC
• Progressive Medical Solutions PC
• Progressive Occupational Therapy PC
• Progressive Orthopedic PLLC
• Progressive Podiatry, PLLC
• Progressive Podiatry, PLLC
• Progresu Corp
• Prohealth Care Associates LLP
• Prohealth Care Associates, LLP

• Foot & Ankle Surgery Podiatrist in Brooklyn, NY
• Providers in Brooklyn, 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 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.