Organization Active NPI

Hollowbrook Foot Specialist, PC

  • Foot & Ankle Surgery Podiatrist
  • Wappingers Falls, NY
National Provider Identifier
1346269511
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N003798 Issued in NY
Legal business name
HOLLOWBROOK FOOT SPECIALIST, PC
Practice address
89 E Main St
Wappingers Falls, NY 12590-2505
Phone
(845) 298-9074
NPI assigned
Jul 19, 2006
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Dr. Yavor I Geshev, D.P.M.NPI 1447747167
Title
President
Phone
(845) 298-9074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N003798 NY Primary

Addresses

Primary practice location

89 E Main St
Wappingers Falls, NY 12590-2505

Mailing address

89 E Main St
Wappingers Falls, NY 12590-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060316000382 NY Part B Supplier - Clinic/Group Practice 6002823028 Receives reassigned benefits from 2 practitioners
Practice locations: Wappingers Falls, NY
O20100930094501 NY DME Supplier - Physician - Podiatry 6002823028 Practice locations: Wappingers Falls, NY

National Provider Directory

National Provider Directory

Locations

11 Marshall Rd
Ste 1F
Wappingers Falls, NY 12590
Phone (845) 298-9074

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1346269511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 E MAIN ST",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125902505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 E MAIN ST",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125902505",
            "telephone_number": "845-298-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLOWBROOK FOOT SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "GESHEV",
        "authorized_official_first_name": "YAVOR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-298-9074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N003798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.