Organization Active NPI

Brummer Surgical Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1205021128
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
005577 Issued in NY
Legal business name
BRUMMER SURGICAL PODIATRY PC
Practice address
515 Madison Ave
1720
New York, NY 10022-5403
Phone
(212) 758-3939
Fax
(212) 758-4244
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
John J Brummer, DPM
Title
President
Phone
(212) 758-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 005577 NY Primary

Addresses

Primary practice location

515 Madison Ave
1720
New York, NY 10022-5403

Mailing address

515 Madison Ave
1720
New York, NY 10022-5403
Phone (212) 758-3939

National Provider Directory

National Provider Directory

Locations

2121 Broadway
New York, NY 10023
Phone (212) 877-1969

425 Madison Ave
Fl 11
New York, NY 10017
Phone (212) 227-7310

425 Madison Ave
New York, NY 10017
Phone (212) 230-1780

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1205021128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE",
            "address_2": "1720",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225403",
            "telephone_number": "212-758-3939",
            "fax_number": "212-758-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE",
            "address_2": "1720",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225403",
            "telephone_number": "212-758-3939",
            "fax_number": "212-758-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUMMER SURGICAL PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "BRUMMER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-758-3939",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "005577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.