Individual provider Active NPI

Dzeneta Pajazetovic

  • Foot & Ankle Surgery Podiatrist
  • Bethpage, NY
National Provider Identifier
1083302558
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007528 Issued in NY
Practice address
39 Lafayette Ave
Bethpage, NY 11714-3618
Phone
(315) 542-1434
NPI assigned
Apr 24, 2023
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 007528 NY Primary

Addresses

Primary practice location

39 Lafayette Ave
Bethpage, NY 11714-3618

Mailing address

1116 Albany St
Utica, NY 13501-3374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6170 S 51St Ave
Laveen, AZ 85339-6305

760 E Betsy LN
Gilbert, AZ 85296-4107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1083302558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 ALBANY ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LAFAYETTE AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143618",
            "telephone_number": "315-542-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJAZETOVIC",
        "first_name": "DZENETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.