Active NPI
Oren Samuel Vaknin, DPM
- Podiatrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- TEMP
- Practice address
- 53 E 124TH St
New York, NY 10035-1815 - Phone
- (212) 410-8000
- NPI assigned
- May 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Podiatrist | 213E00000X | TEMP | NY | Primary |
Addresses
Primary practice location
53 E 124TH St
New York, NY 10035-1815
Mailing address
92 Walraven Dr Apt 1B
Teaneck, NJ 07666-5118
Phone (516) 456-5156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Sumner PL
Brooklyn, NY 11206-4110
Phone 71895188002102
28 Washington St
Columbia, NJ 07832-2324
Phone (212) 764-0008
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2043 |
| Removal or shaving of skin growth | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMP | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahava Medical and Rehabilitation Center, LLC | Current | Accepting new patients | |
| Rite Medical PLLC | Current | Accepting new patients | |
| Pedirite Medical NJ LLC | Podiatrist | Current | Accepting new patients |
Locations
1700 Wynwood Dr
Cinnaminson, NJ 08077
Phone (215) 336-4869
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500
2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108
25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332
21 Ferncliff Dr
Rhinebeck, NY 12572
Phone (845) 516-1663
Organizations & group practices 3
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.
-
- Rehabilitation Practitioner
- Brooklyn, NY
- NPI 1184878274
-
- General Practice Physician
- Rhinebeck, NY
- NPI 1114536034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1215510607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 WALRAVEN DR APT 1B",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665118",
"telephone_number": "516-456-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 E 124TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351815",
"telephone_number": "212-410-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAKNIN",
"first_name": "OREN",
"middle_name": "SAMUEL",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-03",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "TEMP",
"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 May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.