Individual provider Active NPI

John H Spina, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1265425144
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004971 Issued in NY
Practice address
153 4TH Ave
Brooklyn, NY 11217-3108
Phone
(718) 230-5811
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004971 NY Primary

Addresses

Primary practice location

153 4TH Ave
Brooklyn, NY 11217-3108

Mailing address

291 Smith St
Brooklyn, NY 11231-4609
Phone (718) 596-9567

Other identifiers 1

IdentifierTypeStateIssuer
01296386MedicaidNY

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
I20071219000847 NY Practitioner - Podiatry 9335239946 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

153 4TH Ave
Brooklyn, NY 11217-3108
Phone (718) 230-5811

73 Belmont Ave
Suite 77
Brooklyn, NY 11212-6718
Phone (202) 280-7019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of skin lesions1-10
Removal of nail tissue1016
Removal or shaving of skin growth169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004971NYMDMental Health Counselor
N004971NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamid Lalani Medical PLLC CurrentSince Jan 1, 2024 Accepting new patients
Coney Island Medical Services PC Podiatrist Past Accepting new patients

Locations

4713 Church Ave
Brooklyn, NY 11203
Phone (631) 760-1932

228 Montrose Ave
Brooklyn, NY 11206
Phone (718) 284-7070

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265425144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314609",
            "telephone_number": "718-596-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173108",
            "telephone_number": "718-230-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINA",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01296386",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.