Organization Active NPI

Downstate Foot and Ankle Podiatry, PC

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1407817232
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DOWNSTATE FOOT AND ANKLE PODIATRY, PC
Practice address
443 Linden Blvd
Brooklyn, NY 11203-2821
Phone
(718) 282-6333
Fax
(718) 756-0545
NPI assigned
Mar 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Mr. Bryan Makower, DPMNPI 1548221708
Title
Director
Phone
(718) 282-6333

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

443 Linden Blvd
Brooklyn, NY 11203-2821

Mailing address

635 2ND St
Brooklyn, NY 11215-2601
Phone (718) 282-6333

Other identifiers 1

IdentifierTypeStateIssuer
PKW661OtherNYMEDICARE GROUP PTAN

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060330000609 NY Part B Supplier - Clinic/Group Practice 3779472758 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY; Flushing, NY; Brooklyn, NY
O20100930004914 NY DME Supplier - Physician - Podiatry 3779472758 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Downstate Foot and Ankle PO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

81 Willoughby St
Brooklyn, NY 11201
Phone (718) 222-3000

781 47th St
Brooklyn, NY 11220
Phone (347) 442-5847

1407 Avenue U
Brooklyn, NY 11229
Phone (718) 377-1289

1491 Broadway
Brooklyn, NY 11221
Phone (718) 574-2289

Practitioners & affiliated clinicians

Practitioners 6

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": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1407817232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152601",
            "telephone_number": "718-282-6333",
            "fax_number": "718-756-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032821",
            "telephone_number": "718-282-6333",
            "fax_number": "718-756-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNSTATE FOOT AND ANKLE PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "MAKOWER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-282-6333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "PKW661",
            "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 Jul 23, 2019; 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.