Individual provider Active NPI

Jignasa P Joshi, DPM

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1174664577
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004752 Issued in NY
Practice address
33 W 125TH St
New York, NY 10027-4512
Phone
(212) 369-7340
Fax
(212) 369-1071
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N004752 NY Primary

Addresses

Primary practice location

33 W 125TH St
New York, NY 10027-4512

Mailing address

33 W 125TH St
New York, NY 10027-4512
Phone (212) 369-7340

Other identifiers 1

IdentifierTypeStateIssuer
01204168MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051220000041 NY Practitioner - Podiatry 0244252211 Reassigns benefits to 1 organization
Practice locations: New York, NY
O20100930080068 NY DME Supplier - Physician - Podiatry 2567673460 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tej Podiatric Group P.CGroup PAC ID 9931116787, 2 clinicians

Practice addresses (Care Compare)

1963 Daly Ave a
Bronx, NY 10460-2820
Phone (718) 617-6141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue51
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004752NYMDFoot Surgery Podiatrist
004752NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James River Eye Physicians PC CurrentSince Dec 20, 2005 Accepting new patients
Tej Podiatric Group P.C Foot Surgery CurrentSince Jan 13, 2005 Accepting new patients

Locations

1963A Daly Ave
Bronx, NY 10460
Phone (718) 617-6141

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jjoshi19246@sbhny.direct-ci.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1174664577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274512",
            "telephone_number": "212-369-7340",
            "fax_number": "212-369-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274512",
            "telephone_number": "212-369-7340",
            "fax_number": "212-369-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "JIGNASA",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01204168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.