Eastern Podiatry PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

EASTERN PODIATRY PLLC

Practice address

1800 New York Ave
Superior, WI 54880-2008

Phone

(718) 972-5000

Fax

(718) 972-3774

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Alan Tajerstein, DPM

Title

Owner

Phone

(718) 972-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1215487277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291810",
            "telephone_number": "718-972-5000",
            "fax_number": "718-972-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NEW YORK AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802008",
            "telephone_number": "718-972-5000",
            "fax_number": "718-972-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "TAJERSTEIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-972-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas County Department of Health & Human Services
• Dove Agency, Inc.
• Dove Inc
• Shelby Lynn Downey, ATC, LAT
• Martin Edward Duchscher, DDS
• Zoey Eastman
• Edge Medical Services
• Jennifer J. Ellison, PHARM.D.
• Eric M Elmquist, DDS
• Steven A Engleson, MA

• Podiatrist in Superior, WI
• Providers in Superior, WI by specialty
• Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.