Individual provider Active NPI

Bernard D Sokolowski, DPM

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1154533719
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
003989-1 Issued in NY
Practice address
825 Walton Ave
Doctors Office
Bronx, NY 10451-2306
Phone
(718) 402-1800
Fax
(718) 402-2366
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 003989-1 NY Primary
Foot Surgery Podiatrist 213ES0131X 003989-1 NY

Addresses

Primary practice location

825 Walton Ave
Doctors Office
Bronx, NY 10451-2306

Mailing address

825 Walton Ave
Doctors Office
Bronx, NY 10451-2306
Phone (718) 402-1800

Other identifiers 1

IdentifierTypeStateIssuer
969966MedicaidNY

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
I20101105000507 NY Practitioner - Podiatry 0446444228 Practice locations: Monsey, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Melnick Dr
Suite 101
Monsey, NY 10952-3369
Phone (845) 352-9292

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions20
Removal of nail tissue94
Removal or shaving of skin growth85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003989-1NYMDOptometrist
003989NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154533719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WALTON AVE",
            "address_2": "DOCTORS OFFICE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512306",
            "telephone_number": "718-402-1800",
            "fax_number": "718-402-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WALTON AVE",
            "address_2": "DOCTORS OFFICE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512306",
            "telephone_number": "718-402-1800",
            "fax_number": "718-402-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOWSKI",
        "first_name": "BERNARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "003989-1",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "003989-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969966",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.