NPIMap

Individual provider Active NPI

Fejzo Cecunjanin, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1356789820
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006769-1 Issued in NY
Practice address
1245 50TH St Apt 4K
Brooklyn, NY 11219-3562
Phone
(646) 236-2686
NPI assigned
Jun 6, 2013
Last updated
Sep 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N006769-1 NY Primary

Addresses

Primary practice location

1245 50TH St Apt 4K
Brooklyn, NY 11219-3562

Mailing address

1245 50TH St Apt 4K
Brooklyn, NY 11219-3562
Phone (646) 236-2686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101001367 NY Practitioner - Podiatry 0244537454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
The Floating Hospital IncGroup PAC ID 0547367120, 17 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

2101 41St Ave
Long Island City, NY 11101-4801
Phone 7187842240144

324 E 23Rd St
New York, NY 10010-4701
Phone (212) 589-6000

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue52
Removal of skin lesions1-10
Removal of nail tissue211
Removal or shaving of skin growth52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006769-1NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 1, 2016 Accepting new patients
The Floating Hospital Inc. CurrentSince Jan 19, 2024 Accepting new patients
New York University CurrentSince Nov 1, 2016 Accepting new patients
The Floating Hospital Inc. Current Accepting new patients
The Floating Hospital Inc. CurrentSince Jan 19, 2024 Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

1029 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266

2101 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266

55 E 55th St
New York, NY 10022
Phone (212) 750-9095

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: fcecunjanin121155@nyumc.direct-ci.com
  • Direct secure messaging: fejzo.cecunjanin.1@22829.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1356789820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 50TH ST APT 4K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193562",
            "telephone_number": "646-236-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 50TH ST APT 4K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193562",
            "telephone_number": "646-236-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECUNJANIN",
        "first_name": "FEJZO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006769-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.