The Foot Specialty Practice, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N006209 Issued in NY

Legal business name

THE FOOT SPECIALTY PRACTICE, P.C.

Doing business as

Dr. Carl M. Jean, DPM, P.C.

Practice address

903 Utica Ave
2ND Floor
Brooklyn, NY 11203-4313

Phone

(718) 493-5986

Fax

(646) 843-4712

NPI assigned

Sep 11, 2008

Last updated

Nov 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carl Myrel Jean, D.P.M.NPI 1255453031

Title

Podiatrist

Phone

(718) 522-2770

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carl M. Jean, DPM, P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Carl Myrel Jean, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1255453031
  Medicare reassignment Authorized official
• Kelvin A Barry Sr., D.P.M.

  • Foot Surgery Podiatrist
  • West Deptford, NJ
  • NPI 1225026727

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1174772446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 UTICA AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034313",
            "telephone_number": "718-493-5986",
            "fax_number": "646-843-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 UTICA AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034313",
            "telephone_number": "718-493-5986",
            "fax_number": "646-843-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT SPECIALTY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "MYREL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "718-522-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Carl M. Jean, DPM, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.