Individual provider Active NPI

Jeffrey Fred Ozinitsky, D.P.M.

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1245430685
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003279 Issued in NY
Practice address
903 E 85TH St
Brooklyn, NY 11236-3803
Phone
(718) 251-3900
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003279 NY Primary

Addresses

Primary practice location

903 E 85TH St
Brooklyn, NY 11236-3803

Mailing address

176 Route 9
Ste 207
Englishtown, NJ 07726-9220
Phone (718) 251-3900

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

LicenseStateTypeSpecialty
N003279NYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1245430685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ROUTE 9",
            "address_2": "STE 207",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077269220",
            "telephone_number": "718-251-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E 85TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363803",
            "telephone_number": "718-251-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZINITSKY",
        "first_name": "JEFFREY",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003279",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 28, 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.