Active NPI
Alan Jay Newmark, DPM
- Podiatrist
- Brooklyn, NY
National Provider Identifier
1407928393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00602355 | Medicaid | NY |
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
Enrollment records 2
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
Practice addresses (Care Compare)
2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone 71895188002102
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 50 |
| Removal of skin lesions | 15 |
| Removal of nail tissue | 250 |
| Removal or shaving of skin growth | 78 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003108 | NY | MD | Psychiatry Physician |
| N003108 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Group of Georgia, Inc | Current | Accepting new patients | |
| Ahava Medical and Rehabilitation Center, LLC | Current | 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.
-
- Rehabilitation Practitioner
- Brooklyn, NY
- NPI 1184878274
-
- Customized Equipment (DME)
- Brooklyn, NY
- NPI 1659559284
-
- Foot & Ankle Surgery Podiatrist
- Marietta, GA
- NPI 1811291149
-
- Chiropractor
- Brooklyn, NY
- NPI 1013091974
-
- Chiropractor
- Brooklyn, NY
- NPI 1992889869
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.