Organization Active NPI

Epstein Tavroff Leon DPMS LLP

  • Foot Surgery Podiatrist
  • Briarwood, NY
National Provider Identifier
1205932860
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
005121 Issued in NY
Legal business name
EPSTEIN TAVROFF LEON DPMS LLP
Practice address
8475 Main St
Briarwood, NY 11435
Phone
(718) 657-8921
Fax
(718) 657-9650
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Geoffrey C Epstein, DPMNPI 1578561510
Title
Partner
Phone
(718) 657-8921

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 005121 NY Primary

Addresses

Primary practice location

8475 Main St
Briarwood, NY 11435

Mailing address

8475 Main St
Briarwood, NY 11435-1624
Phone (718) 657-8921

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930011589 NY DME Supplier - Physician - Podiatry 7012007438 Practice locations: Briarwood, NY
O20101025000970 NY Part B Supplier - Clinic/Group Practice 7012007438 Receives reassigned benefits from 3 practitioners
Practice locations: Briarwood, NY; Melville, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

8475 Main St
Jamaica, NY 11435
Phone (718) 657-8921

Practitioners & affiliated clinicians

Practitioners 3

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1205932860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 MAIN ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351624",
            "telephone_number": "718-657-8921",
            "fax_number": "718-657-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8475 MAIN ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-657-8921",
            "fax_number": "718-657-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPSTEIN TAVROFF LEON DPMS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-657-8921",
        "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": "005121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.