Organization Active NPI

Frasca Footcare PC

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1083899256
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005015 Issued in NY
Legal business name
FRASCA FOOTCARE PC
Practice address
1806 Bay Ridge Pkwy
Brooklyn, NY 11204-5705
Phone
(718) 236-4321
Fax
(718) 232-6800
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Sandro FrascaNPI 1417057464
Title
Owner
Phone
(718) 236-4321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N005015 NY Primary

Addresses

Primary practice location

1806 Bay Ridge Pkwy
Brooklyn, NY 11204-5705

Mailing address

6910 11TH Ave
Brooklyn, NY 11228-1207
Phone (718) 232-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100211000551 NY Part B Supplier - Clinic/Group Practice 0143363200 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20100930032701 NY DME Supplier - Physician - Podiatry 0143363200 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1806 75th St
Brooklyn, NY 11204

1806 Bay Ridge Pkwy
Brooklyn, NY 11204
Phone (718) 232-9595

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1083899256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281207",
            "telephone_number": "718-232-8222",
            "fax_number": "718-837-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045705",
            "telephone_number": "718-236-4321",
            "fax_number": "718-232-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRASCA FOOTCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "FRASCA",
        "authorized_official_first_name": "SANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-236-4321"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.