Organization Active NPI

Total Care Podiatry PC

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1194095141
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
006244 Issued in NY
Legal business name
TOTAL CARE PODIATRY PC
Practice address
3514 Mermaid Ave
Suite 004
Brooklyn, NY 11224-1508
Phone
(917) 723-1128
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Irina Belder, DPMNPI 1215115407
Title
Ceo
Phone
(917) 723-1128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 006244 NY Primary

Addresses

Primary practice location

3514 Mermaid Ave
Suite 004
Brooklyn, NY 11224-1508

Mailing address

3514 Mermaid Ave
Suite 004
Brooklyn, NY 11224-1508
Phone (917) 723-1128

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130306000059 NY Part B Supplier - Clinic/Group Practice 5799930301 Receives reassigned benefits from 8 practitioners
Practice locations: Brooklyn, NY
O20140428001628 NY DME Supplier - Physician - Podiatry 5799930301 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

305 Ocean View Ave
Brooklyn, NY 11235
Phone (718) 743-3100

3514 Mermaid Ave
Ste 4
Brooklyn, NY 11224
Phone (718) 715-1777

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1194095141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 MERMAID AVE",
            "address_2": "SUITE 004",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241508",
            "telephone_number": "917-723-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 MERMAID AVE",
            "address_2": "SUITE 004",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241508",
            "telephone_number": "917-723-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "BELDER",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-723-1128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006244",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 9, 2012; 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.