Individual provider Active NPI

Joanna Ayoub, DPM

  • Foot & Ankle Surgery Podiatrist
  • New Yorl, NY
National Provider Identifier
1326299744
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
AN006456-01 Issued in NY
Practice address
1410 Broadway
Suite 1102
New Yorl, NY 10018-9355
Phone
(212) 810-9844
Fax
(929) 207-3133
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006456 NY
Foot & Ankle Surgery Podiatrist 213ES0103X AN006456-01 NY Primary

Addresses

Primary practice location

1410 Broadway
Suite 1102
New Yorl, NY 10018-9355

Mailing address

1410 Broadway
Suite 1102
New York, NY 10018-9355
Phone (212) 810-9844

Other identifiers 1

IdentifierTypeStateIssuer
03454088MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006456NYMDPodiatrist
AN006456-01NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tred Foot and Ankle Care PLLC Foot & Ankle Surgery CurrentSince Jan 21, 2024 Accepting new patients

Locations

1410 Broadway
Rm 1102
New York, NY 10018
Phone (212) 810-9844

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25696/brand/1/csg/1/fhir/r4

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1326299744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY",
            "address_2": "SUITE 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100189355",
            "telephone_number": "212-810-9844",
            "fax_number": "929-207-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY",
            "address_2": "SUITE 1102",
            "city": "NEW YORL",
            "state": "NY",
            "postal_code": "100189355",
            "telephone_number": "212-810-9844",
            "fax_number": "929-207-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006456",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "AN006456-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03454088",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.