Active NPI
Vadim Nekritin, DPM
- Primary Podiatric Medicine Podiatrist
- Brooklyn, NY
National Provider Identifier
1245294503
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 006017
- Practice address
- 2306 Ave
Brooklyn, NY 11229-4917 - Phone
- (718) 769-8210
- Fax
- (718) 769-8087
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 006017 | NY | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 006017 | NY |
Addresses
Primary practice location
2306 Ave
Brooklyn, NY 11229-4917
Mailing address
2306 Ave
Brooklyn, NY 11229-4917
Phone (718) 769-8210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02569611 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vadim Nekritin DPM, PC | Past | Accepting new patients | |
| St John'S Medical Services PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1457367872
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232928000000",
"number": "1245294503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294917",
"telephone_number": "718-769-8210",
"fax_number": "718-769-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294917",
"telephone_number": "718-769-8210",
"fax_number": "718-769-8087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEKRITIN",
"first_name": "VADIM",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2009-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "006017",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "006017",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02569611",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.