Individual provider Active NPI

Vera Valeska Halbfass, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1205885100
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
925 Issued in CT
Practice address
415 Leonard St
Apt 1E
Brooklyn, NY 11222-3943
Phone
(212) 682-5290
Fax
(212) 599-3059
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N006020 NY
Podiatrist 213E00000X 925 CT Primary

Addresses

Primary practice location

415 Leonard St
Apt 1E
Brooklyn, NY 11222-3943

Mailing address

415 Leonard St
Apt. 1E
Brooklyn, NY 11222-3943
Phone (917) 754-7084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151201001724 CT Practitioner - Podiatry 9133100639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Health Centers IncGroup PAC ID 2769417609, 39 clinicians

Practice addresses (Care Compare)

110 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359263

265 Ellington Rd
East Hartford, CT 06108-1176
Phone (860) 610-6191

809 Main St
East Hartford, CT 06108-3142
Phone (860) 610-6131

92 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359129

94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006020NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Health Centers, Inc. CurrentSince Sep 1, 2015 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Absolute Footcare PC Podiatrist PastSince Sep 4, 2011 Accepting new patients
Gramercy Obs Facility LLC Past Accepting new patients
New York Independent Practice of Anesthesia, PC Past Accepting new patients
Wayne Axman Podiatrist Past Accepting new patients
American Foot Care PC Podiatrist Past Accepting new patients

Locations

478 Burnside Ave
Ste 2
East Hartford, CT 06108
Phone (860) 528-7161

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

150 N Main St
Ste 240
Manchester, CT 06042
Phone (860) 610-6191

Interoperability endpoints

  • Direct secure messaging: vera.halbfass@fchc1.eclinicaldirectplus.com

Organizations & group practices 7

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1205885100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 LEONARD ST",
            "address_2": "APT. 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112223943",
            "telephone_number": "917-754-7084",
            "fax_number": "718-388-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 LEONARD ST",
            "address_2": "APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112223943",
            "telephone_number": "212-682-5290",
            "fax_number": "212-599-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBFASS",
        "first_name": "VERA",
        "middle_name": "VALESKA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006020",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.