Individual provider Active NPI

Alan Jay Newmark, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1407928393
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003108 Issued in NY
Practice address
34 Plaza St
Suite 107
Brooklyn, NY 11238
Phone
(718) 857-9004
Fax
(718) 857-7251
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003108 NY Primary

Addresses

Primary practice location

34 Plaza St
Suite 107
Brooklyn, NY 11238

Mailing address

34 Plaza St
Suite 107
Brooklyn, NY 11238
Phone (718) 857-9004

Other identifiers 1

IdentifierTypeStateIssuer
00602355MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 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
I20100903000554 NY Practitioner - Podiatry 9032233549 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY
O20100930100708 NY DME Supplier - Physician - Podiatry 6901017789 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Illinois Medical College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahava Medical and Rehabilitation Center, LLCGroup PAC ID 1557416997, 150 clinicians

Practice addresses (Care Compare)

2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone 71895188002102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions15
Removal of nail tissue250
Removal or shaving of skin growth78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003108NYMDPsychiatry Physician
N003108NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Group of Georgia, Inc CurrentSince Sep 3, 2010 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jan 10, 2026 Accepting new patients
Alan Newmark, DPM Past Accepting new patients
Keller Chiropractic of Crown Heights LLC. Past Accepting new patients
Keller Chiropractic of Williamsburg LLC. Past Accepting new patients

Locations

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • 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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1407928393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PLAZA ST",
            "address_2": "SUITE 107",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-857-9004",
            "fax_number": "718-857-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PLAZA ST",
            "address_2": "SUITE 107",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-857-9004",
            "fax_number": "718-857-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMARK",
        "first_name": "ALAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00602355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.