Individual provider Active NPI

Michael Genkin, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Monroe, NY
National Provider Identifier
1427292580
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006319 Issued in NY
Practice address
5 Ford CT
Monroe, NY 10950-4945
Phone
(718) 218-4075
NPI assigned
Apr 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006319 NY Primary

Addresses

Primary practice location

5 Ford CT
Monroe, NY 10950-4945

Mailing address

5 Ford CT
Monroe, NY 10950-4945
Phone (718) 218-4075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006319NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Foot Care P.C. Foot & Ankle Surgery PastSince Apr 1, 2010 Accepting new patients
Podiatry Options P.C. Past Accepting new patients
Hear & See Right Inc Past Accepting new patients
Lafayette Medical Office, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.genkin.1@32967.direct.athenahealth.com

Organizations & group practices 4

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1427292580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FORD CT",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504945",
            "telephone_number": "718-218-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FORD CT",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504945",
            "telephone_number": "718-218-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENKIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.