Active NPI
Linda Podiatry PC
- Podiatrist
- New York, NY
National Provider Identifier
1356623771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N006252
- Legal business name
- LINDA PODIATRY PC
- Practice address
- 700 W 192ND St
Apt# 606
New York, NY 10040-2402 - Phone
- (917) 399-0361
- NPI assigned
- Sep 12, 2011
- Last updated
- Sep 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eka Davitachvili, DPM
- Title
- Incorporator/Director/DPM
- Phone
- (917) 399-0361
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N006252 | NY | Primary |
Addresses
Primary practice location
700 W 192ND St
Apt# 606
New York, NY 10040-2402
Mailing address
700 W 192 Street
Apt# 606
New York, NY 10040
Phone (917) 399-0361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1068 48th St
Brooklyn, NY 11219
Phone (718) 269-5151
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1376797894
-
- Adult Health Nurse Practitioner
- Forest Hills, NY
- NPI 1588120760
-
- Adult Health Nurse Practitioner
- Bronx, NY
- NPI 1477077535
-
- Internal Medicine Physician
- Forest Hills, NY
- NPI 1073537502
-
- Internal Medicine Physician
- Forest Hills, NY
- NPI 1710936232
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1558516617
-
- Endocrinology, Diabetes & Metabolism Physician
- Yonkers, NY
- NPI 1750470837
-
- Psychiatry Physician
- Forest Hills, NY
- NPI 1184712945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315785600000",
"number": "1356623771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W 192 STREET",
"address_2": "APT# 606",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10040",
"telephone_number": "917-399-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W 192ND ST",
"address_2": "APT# 606",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100402402",
"telephone_number": "917-399-0361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA PODIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A",
"authorized_official_last_name": "DAVITACHVILI",
"authorized_official_first_name": "EKA",
"authorized_official_title_or_position": "INCORPORATOR/DIRECTOR/DPM",
"authorized_official_telephone_number": "917-399-0361",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N006252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Linda Dahl, MD, PC (Dahl Otolaryngology Center)
- Linda Garcia-Rose LCSW and Associates, PLLC
- Linda Kay Fuller LLC
- Linda L Tao MD PC
- Linda M. Giuliano LCSW LLC
- Linda S Packer CSW PC (Prime Life Network)
- Patricia Si-Ling Lindahl, M.D.
- Felisa Velasco Lindain, DDS
- Marion Lindauer, LCSW
- Linda Anne Linday, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.