Active NPI
Idit R Forkosh, DPM
- Foot Surgery Podiatrist
- Brooklyn, NY
National Provider Identifier
1245335108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N005510
- Practice address
- 3600 Bedford Ave
Brooklyn, NY 11210-5237 - Phone
- (718) 758-9150
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N005510 | NY | Primary |
Addresses
Primary practice location
3600 Bedford Ave
Brooklyn, NY 11210-5237
Mailing address
3600 Bedford Ave
Brooklyn, NY 11210-5237
Phone (718) 758-9150
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4C1212 | Other | NY | HEALTHNET |
| 6299196 | Other | NY | GHI |
| 5425584 | Other | NY | BCE EMERGIS (UP &UP) |
| FI5510 | Other | ATLANTIS | |
| P05510-4W | Other | NY | WORKER'S COMP |
| 163211 | Other | NY | ELDERPLAN |
| N005510 | Other | NY | MAGNACARE |
| 1892417 | Other | NY | FIRST HEALTH PINS |
| HIP | Other | NY | N005510 |
| N005510 | Other | NY | HORIZON HEALTHCARE |
| PB5341 | Other | NY | BLUE CHOICE |
| 02039710 | Medicaid | NY | |
| N005510 | Other | NY | 1199 PCS |
| 030005510NY01 | Other | NY | ANTHEM |
| N005510 | Other | NY | HEALTHFIRST |
| N005510 | Other | NY | CAREPLUS |
| P2171265 | Other | NY | OXFORD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N005510 | NY | MD | Foot Surgery Podiatrist |
| 005510 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1245335108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112105237",
"telephone_number": "718-758-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112105237",
"telephone_number": "718-758-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORKOSH",
"first_name": "IDIT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N005510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4C1212",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6299196",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCE EMERGIS (UP &UP)",
"identifier": "5425584",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS",
"identifier": "FI5510",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMP",
"identifier": "P05510-4W",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "163211",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "N005510",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PINS",
"identifier": "1892417",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N005510",
"identifier": "HIP",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTHCARE",
"identifier": "N005510",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "PB5341",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02039710",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 PCS",
"identifier": "N005510",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "030005510NY01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "N005510",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREPLUS",
"identifier": "N005510",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2171265",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.