Active NPI
Jordan Drucker, DPM
- Foot & Ankle Surgery Podiatrist
- New York, NY
National Provider Identifier
1104124700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N006375-1
- Practice address
- 121 E 60TH St Apt 3D
New York, NY 10022-1164 - Phone
- (516) 531-3146
- NPI assigned
- Mar 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N006375-1 | NY | Primary |
Addresses
Primary practice location
121 E 60TH St Apt 3D
New York, NY 10022-1164
Mailing address
121 E 60TH St Apt 3D
New York, NY 10022-1164
Phone (516) 531-3146
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N006375-1 | NY | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1104124700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E 60TH ST APT 3D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221164",
"telephone_number": "516-531-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E 60TH ST APT 3D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221164",
"telephone_number": "516-531-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUCKER",
"first_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-05",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N006375-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.