Individual provider Active NPI

Julia Muradov, DPM

  • Foot Surgery Podiatrist
  • Staten Island, NY
National Provider Identifier
1245476977
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006289 Issued in NY
Practice address
91 Weed Ave
Staten Island, NY 10306-4924
Phone
(718) 668-1523
Fax
(718) 854-1810
NPI assigned
Dec 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N006289 NY
Foot Surgery Podiatrist 213ES0131X N006289 NY Primary

Addresses

Primary practice location

91 Weed Ave
Staten Island, NY 10306-4924

Mailing address

61 Hillview LN
Staten Island, NY 10304-1349
Phone (646) 251-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000596 NY Practitioner - Podiatry 0446316905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

172 Brighton 11TH St
Brooklyn, NY 11235-5327
Phone (718) 332-6262

Merit-based Incentive Payment System (MIPS)

Final score
84.64 of 100Reported as individual
Quality
49.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions55
Removal of nail tissue2761
Removal or shaving of skin growth1893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006289NYMDMental Health Counselor
N006289NYMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Brighton Podiatry PC Primary Podiatric Medicine CurrentSince Jan 2, 2012 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Mar 9, 2024 Accepting new patients
Mur Podiatry P.C. CurrentSince Nov 25, 2009 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Karat Medical PC Past Accepting new patients
Karat Liberty Medical Care PC Past Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

630 E 104th St
Brooklyn, NY 11236
Phone (718) 240-3100

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

172 Brighton 11th St
Brooklyn, NY 11235
Phone (347) 200-0024

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1245476977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HILLVIEW LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041349",
            "telephone_number": "646-251-6646",
            "fax_number": "718-332-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 WEED AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064924",
            "telephone_number": "718-668-1523",
            "fax_number": "718-854-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURADOV",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N006289",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.