Organization Active NPI

Cooper Podiatry PC

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1386810349
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006205-1 Issued in NY
Legal business name
COOPER PODIATRY PC
Practice address
30 Dekalb Ave
2ND Floor
Brooklyn, NY 11201-5314
Phone
(718) 744-7209
Fax
(718) 488-1919
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Dr. Scott L Cooper, DPMNPI 1588692974
Title
President
Phone
(718) 744-7209

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N006205-1 NY Primary

Addresses

Primary practice location

30 Dekalb Ave
2ND Floor
Brooklyn, NY 11201-5314

Mailing address

2346 E 29TH St
Brooklyn, NY 11229-5028
Phone (718) 744-7209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080529000459 NY Part B Supplier - Clinic/Group Practice 5496825713 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20100930070553 NY DME Supplier - Multi-Specialty - Physician 5496825713 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

14 Nevins St
NY 11217

14 Nevins St
Brooklyn, NY 11217

30 DeKalb Ave
#2
Brooklyn, NY 11201
Phone (718) 744-7209

14 Nevins St
Brooklyn, NY 11217
Phone (718) 744-7209

585 Fulton St
#2
Brooklyn, NY 11201
Phone (718) 744-7209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1386810349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 E 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295028",
            "telephone_number": "718-744-7209",
            "fax_number": "718-488-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DEKALB AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015314",
            "telephone_number": "718-744-7209",
            "fax_number": "718-488-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-744-7209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006205-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 23, 2017; 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.

Verify at the official NPI Registry.