Individual provider Active NPI

Jaideep Chopra, DPM

  • Primary Podiatric Medicine Podiatrist
  • Brooklyn, NY
National Provider Identifier
1376537985
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N005517 Issued in NY
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

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00970654MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060228000534 NY Practitioner - Podiatry 8820004898 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

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
T Bonnett Medical Services PCGroup PAC ID 4385912641, 2 clinicians
Starosta Medical PCGroup PAC ID 5799676839, 4 clinicians

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 Hospital, Brooklyn, NY, CCN 330350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions19
Removal of nail tissue654
Removal or shaving of skin growth605

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
N005517NYMDPrimary Podiatric Medicine Podiatrist
005517NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Starosta Medical PC CurrentSince May 1, 2015 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.