Individual provider Active NPI

Akiva Kenigsberg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flushing, NY
National Provider Identifier
1255868667
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N007086 Issued in NY
Practice address
7101 147TH St # 401B
Flushing, NY 11367-2003
Phone
(908) 472-9149
Fax
(908) 472-9149
NPI assigned
May 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N007086 NY Primary

Addresses

Primary practice location

7101 147TH St # 401B
Flushing, NY 11367-2003

Mailing address

7101 147TH St # 401B
Flushing, NY 11367-2003
Phone (908) 472-9149

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
I20200903003203 NY Practitioner - Podiatry 9638417793 Reassigns benefits to 3 organizations
Practice locations: Flushing, NY; Roslyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Preferred Family Footcare, LLPGroup PAC ID 7810039401, 3 clinicians
Preferred Family Footcare of Li PLLCGroup PAC ID 5890922439, 3 clinicians

Practice addresses (Care Compare)

14149 73Rd Ave
Flushing, NY 11367-2340
Phone (718) 544-7575

38 Wren Dr
Roslyn, NY 11576-2722
Phone (516) 621-4395

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue599
Removal or shaving of skin growth56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007086NYMDMental Health Counselor
N007086NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Footcare, LLP Foot & Ankle Surgery CurrentSince Oct 1, 2020 Accepting new patients
Preferred Family Footcare of Li PLLC CurrentSince Nov 26, 2022 Accepting new patients
Team Care Medical PLLC CurrentSince Jul 27, 2025 Accepting new patients

Locations

596 Prospect Pl
Brooklyn, NY 11238
Phone (718) 362-1450

14149 73rd Ave
Kew Gardens Hills, NY 11367
Phone (718) 544-7575

801 Narrows Rd N
Staten Island, NY 10304
Phone (718) 727-8498

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: akiva.kenigsberg.1@32021.direct.athenahealth.com
  • Direct secure messaging: akenigsberg71159@direct.medisys.org

Organizations & group practices 3

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1255868667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 147TH ST # 401B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672003",
            "telephone_number": "908-472-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 147TH ST # 401B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672003",
            "telephone_number": "908-472-9149",
            "fax_number": "908-472-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENIGSBERG",
        "first_name": "AKIVA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.