Individual provider Active NPI

Jobin Abraham Danesh, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1386069706
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006666 Issued in NY
Practice address
1821 E 19TH St
Brooklyn, NY 11229-3500
Phone
(347) 816-3226
NPI assigned
Feb 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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 N006666 NY Primary

Addresses

Primary practice location

1821 E 19TH St
Brooklyn, NY 11229-3500

Mailing address

1821 E 19TH St
Brooklyn, NY 11229-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150102000627 NY Practitioner - Podiatry 1557684370 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY
I20180212002730 CA Practitioner - Podiatry 1557684370 Practice locations: Reseda, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

391 E 149TH St
RM 216
Bronx, NY 10455-3907
Phone (347) 816-3226

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions16
Removal of nail tissue804
Removal or shaving of skin growth760
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006666NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Health Plan, Inc. CurrentSince May 30, 2017 Accepting new patients
Urban Health Plan, Inc. CurrentSince May 30, 2017 Accepting new patients
Danesh Podiatry Foot Surgery CurrentSince Jun 1, 2021 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jul 1, 2015 Accepting new patients

Locations

271 E 138th St
Bronx, NY 10454
Phone (347) 407-7120

1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600

391 E 149th St
Rm 216
Bronx, NY 10455
Phone (347) 816-3226

3209 3rd Ave
Bronx, NY 10451
Phone (347) 284-0203

1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

154 W 127th St
New York, NY 10027
Phone (212) 280-0804

Networks

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

Interoperability endpoints

  • Direct secure messaging: jdanesh19223@sbhny.direct-ci.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1386069706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293500",
            "telephone_number": "347-816-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESH",
        "first_name": "JOBIN",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-21",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.