Active NPI
Jaideep Chopra, DPM
- Primary Podiatric Medicine Podiatrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- N005517
- Practice address
- 1324 Bergen St
Brooklyn, NY 11213-1530 - Phone
- (718) 774-5224
- Fax
- (888) 675-7565
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | N005517 | NY | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N005517 | NY | Primary |
Addresses
Primary practice location
1324 Bergen St
Brooklyn, NY 11213-1530
Mailing address
1120 Warburton Ave
4E
Yonkers, NY 10701-1054
Phone (215) 668-6814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00970654 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 Ocean Pkwy
Suite 1TS
Brooklyn, NY 11218-2567
Phone (718) 774-5224
1530 Bedford Ave
Suite 2
Brooklyn, NY 11216-4117
Phone (347) 404-6508
178 Albany Ave
Brooklyn, NY 11213-2156
Phone (718) 774-5224
2114 Gravesend Neck Rd
Brooklyn, NY 11229-4810
Phone (718) 769-9100
Hospital & facility affiliations
- Suny/Downstate University Hospital of Brooklyn
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 654 |
| Removal or shaving of skin growth | 605 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N005517 | NY | MD | Primary Podiatric Medicine Podiatrist |
| 005517 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starosta Medical PC | Current | Accepting new patients | |
| C&GL Podiatry Associates, P.C. | Past | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Past | Accepting new patients | |
| Brooklyn Medical Associate, LFPC | Past | Accepting new patients | |
| Advanced Practice of Medicine PC | Past | Accepting new patients | |
| C & GL Podiatry Associates, P.C. | Past | Accepting new patients | |
| Albany Pharmacy Inc. | Past | Accepting new patients |
Locations
2114 Gravesend Neck Rd
Brooklyn, NY 11229
Phone (718) 769-9100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 9
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.
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1568663599
-
- Podiatrist
- Brooklyn, NY
- NPI 1750714218
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1144461146
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1104091859
-
- Specialist
- Brooklyn, NY
- NPI 1689708190
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1447323928
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1851685846
-
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
- NPI 1356421341
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1386691822
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1376537985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 WARBURTON AVE",
"address_2": "4E",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011054",
"telephone_number": "215-668-6814",
"fax_number": "888-675-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 BERGEN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112131530",
"telephone_number": "718-774-5224",
"fax_number": "888-675-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOPRA",
"first_name": "JAIDEEP",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NY",
"license": "N005517",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "N005517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00970654",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.