North Island Podiatry Associates P.C.

Primary specialty

Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X

Legal business name

NORTH ISLAND PODIATRY ASSOCIATES P.C.

Practice address

596 Pennsylvania Ave
Brooklyn, NY 11207-6308

Phone

(347) 442-5847

NPI assigned

Aug 27, 2019

Last updated

Aug 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Lettman

Title

Office Manager

Phone

(347) 551-3816

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Junior Recardo King, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1497239792
  Medicare reassignment Care Compare group
• Fanyi Kong, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Bayside, NY
  • NPI 1528131596
  Medicare reassignment Care Compare group
• Abidur Rahman, DPM

  • Podiatrist
  • Jackson Heights, NY
  • NPI 1225534464
  Medicare reassignment Care Compare group
• Momna Younas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1194171504
  Medicare reassignment
• Harold Coleman Jr.

  • Podiatrist
  • Doraville, GA
  • NPI 1700313475

  NY

  Medicare reassignment
• Jimmy Van, D.P.M.

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
  • NPI 1396032355
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1245888981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 E 96TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112076308",
            "telephone_number": "347-442-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ISLAND PODIATRY ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "LETTMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "347-551-3816"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05600371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North East Empire Medical, P.C.
• North Eastern Network Ipa
• North Eastern Network, Inc,
• North Flatbush Medical PC
• North Island Family Health NP and Podiatry PLLC
• North Logistic Services Inc
• North Manor Operations Associates, LLC
• North Medtech Inc
• North Prime Podiatry P.C.
• North Shore Hematology Oncology Associates PC (New York Health)

• Orthopaedic Foot and Ankle Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthopaedic Foot and Ankle Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.