Individual provider Active NPI

Zevi W Isseroff

  • Podiatrist
  • New Hyde Park, NY
National Provider Identifier
1285632414
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002951 Issued in NY
Practice address
3003 New Hyde Park Rd
Suite 201
New Hyde Park, NY 11042-1214
Phone
(718) 639-0499
Fax
(718) 639-2268
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N002951 NY Primary

Addresses

Primary practice location

3003 New Hyde Park Rd
Suite 201
New Hyde Park, NY 11042-1214

Mailing address

55-31 69TH St
Maspeth, NY 11378-1806
Phone (718) 639-0499

Other identifiers 1

IdentifierTypeStateIssuer
00417276MedicaidNY

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
I20100127000488 NY Practitioner - Podiatry 6002958121 Reassigns benefits to 1 organization
Practice locations: Manhasset, NY; Maspeth, NY; West Hempstead, NY; Commack, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7001 Grand Ave
Maspeth, NY 11378-1820
Phone (718) 639-0499

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions12
Removal of nail tissue271
Removal or shaving of skin growth196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Podiatry of Manhasset, PLLC Podiatrist CurrentSince Nov 15, 2018 Accepting new patients

Locations

2110 Northern Blvd
Ste 208
Manhasset, NY 11030
Phone (516) 627-5113

7001 Grand Ave
Maspeth, NY 11378
Phone (718) 639-0499

20 Crossways Park Dr N
Ste 304
Woodbury, NY 11797
Phone (516) 681-8866

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1285632414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-31 69TH ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781806",
            "telephone_number": "718-639-0499",
            "fax_number": "718-639-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "SUITE 201",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "718-639-0499",
            "fax_number": "718-639-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSEROFF",
        "first_name": "ZEVI",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00417276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.