Organization Active NPI

Pedro Smukler

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1164736625
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N004149 Issued in NY
Legal business name
PEDRO SMUKLER
Practice address
88 Seigel St
Brooklyn, NY 11206-3203
Phone
(718) 388-5770
Fax
(718) 975-3395
NPI assigned
Jul 27, 2010
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. Pedro Smukler, DPM
Title
Owner
Phone
(917) 804-9722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N004149 NY Primary

Addresses

Primary practice location

88 Seigel St
Brooklyn, NY 11206-3203

Mailing address

30 De Koven CT
Brooklyn, NY 11230-1708
Phone (718) 388-5770

Other identifiers 1

IdentifierTypeStateIssuer
01007390MedicaidNY

National Provider Directory

National Provider Directory

Locations

88 Seigel St
Brooklyn, NY 11206
Phone (718) 388-5770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1164736625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DE KOVEN CT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301708",
            "telephone_number": "718-388-5770",
            "fax_number": "718-975-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SEIGEL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063203",
            "telephone_number": "718-388-5770",
            "fax_number": "718-975-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO SMUKLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "SMUKLER",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-804-9722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N004149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01007390",
            "state": "NY"
        }
    ],
    "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 Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.