Individual provider Active NPI

Alexander Nmoma Jr., DPM

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1407096274
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
006521 Issued in NY
Practice address
122 Fulton St
New York, NY 10038-2717
Phone
(646) 626-3033
NPI assigned
Mar 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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 006521 NY Primary

Addresses

Primary practice location

122 Fulton St
New York, NY 10038-2717

Mailing address

1922 Edison Ave Apt 2F
Bronx, NY 10461-4058
Phone (704) 591-1777

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
I20160105001816 NY Practitioner - Podiatry 9830491034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

1002 Westchester Ave
Bronx, NY 10459-3204
Phone (718) 320-4466

255 E Houston St
New York, NY 10002-1013
Phone (212) 447-1120

504 W 157TH St
New York, NY 10032-7669
Phone (917) 521-3130

511 W 157TH St
New York, NY 10032-7601
Phone (212) 781-7979

81 W 115TH St
New York, NY 10026-3138
Phone (212) 426-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006521NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network, Inc. CurrentSince Dec 29, 2025 Accepting new patients
Executive Medical Care,P.C. CurrentSince Oct 1, 2016 Accepting new patients
Community Healthcare Network Inc Current Accepting new patients
Oleg Karpenko Podiatry P.C. Foot Surgery PastSince Oct 1, 2016 Accepting new patients
Community Healthcare Network Inc Past Accepting new patients

Locations

1002 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466

1167 Nostrand Ave
Brooklyn, NY 11225
Phone (718) 778-0198

3049 Brighton 6th St
Ste 1
Brooklyn, NY 11235
Phone (718) 934-0322

999 Blake Ave
Brooklyn, NY 11208
Phone (718) 277-8303

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

9704 Sutphin Blvd
Jamaica, NY 11435
Phone (718) 657-7088

8944 164th St
Jamaica, NY 11432
Phone (718) 523-2123

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

504 W 158th St
Rm 511
New York, NY 10032

81 W 115th St
New York, NY 10026
Phone (212) 426-0088

44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439

150 Essex St
New York, NY 10002
Phone (212) 477-1120

255 E Houston St
New York, NY 10002
Phone (212) 477-1120

511 W 157th St
New York, NY 10032
Phone (212) 781-7979

60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400

Networks

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

Organizations & group practices 5

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1407096274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 EDISON AVE APT 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614058",
            "telephone_number": "704-591-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 FULTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382717",
            "telephone_number": "646-626-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NMOMA",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.