Individual provider Active NPI

Bella Mednik, D.P.M.

  • Podiatrist
  • Jackson Heights, NY
National Provider Identifier
1073994760
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006976 Issued in NY
Practice address
8710 37TH Ave
Jackson Heights, NY 11372
Phone
(718) 899-8700
Fax
(718) 899-8701
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006976 NY Primary

Addresses

Primary practice location

8710 37TH Ave
Jackson Heights, NY 11372

Mailing address

8710 37TH Ave
Jackson Heights, NY 11372-7704
Phone (718) 899-8700

Other practice location 1

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-3440

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
I20190530000801 NY Practitioner - Podiatry 5799028049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1720 E 14TH St
Brooklyn, NY 11229-2088
Phone (347) 699-9433

1840 E 14TH St
Brooklyn, NY 11229-2800
Phone (347) 699-9433

8710 37TH Ave
Jackson Heights, NY 11372-7704
Phone (347) 699-9433

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions1-10
Removal of nail tissue230
Removal or shaving of skin growth157
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006976NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Podiatry PC Podiatrist CurrentSince Jul 30, 2024 Accepting new patients
Suny Downstate Medical Center PastSince Aug 1, 2019 Accepting new patients

Locations

3514 Mermaid Ave
Ste 4
Brooklyn, NY 11224
Phone (718) 715-1777

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1073994760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727704",
            "telephone_number": "718-899-8700",
            "fax_number": "718-899-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-899-8700",
            "fax_number": "718-899-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Ocean Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112357745",
            "country_code": "US",
            "telephone_number": "718-616-3440",
            "fax_number": "718-616-4436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDNIK",
        "first_name": "BELLA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.