Active NPI
Nelya Lobkova, D.P.M.
- Podiatrist
- New York, NY
National Provider Identifier
1255628889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 006527
- Practice address
- 291 Broadway # 810
New York, NY 10007-1814 - Phone
- (212) 606-4065
- NPI assigned
- Jul 4, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00322200 | NJ | |
| Podiatrist | 213E00000X | 006527 | NY | Primary |
Addresses
Primary practice location
291 Broadway # 810
New York, NY 10007-1814
Mailing address
2639 E 26TH St
Brooklyn, NY 11235-2419
Phone (718) 753-9523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03794305 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
291 Broadway
RM 810
New York, NY 10007-1912
Phone (212) 606-4065
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00322200 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Place Podiatry PLLC | Current | Accepting new patients | |
| Step Up Surgical Podiatry, PLLC | Podiatrist | Current | Accepting new patients |
Locations
291 Broadway
Rm 810
New York, NY 10007
Phone (212) 484-0922
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.
-
- Podiatrist
- New York, NY
- NPI 1467851790
-
- Foot Surgery Podiatrist
- New York, NY
- NPI 1255786331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605398400000",
"number": "1255628889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2639 E 26TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352419",
"telephone_number": "718-753-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 BROADWAY # 810",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071814",
"telephone_number": "212-606-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBKOVA",
"first_name": "NELYA",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-04",
"last_updated": "2020-11-15",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00322200",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "006527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03794305",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.