Organization Active NPI

The New York Podiatry Association, PLLC

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1437393048
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006000 Issued in NY
Legal business name
THE NEW YORK PODIATRY ASSOCIATION, PLLC
Practice address
2015 Bath Ave
Brooklyn, NY 11214
Phone
(718) 787-9288
NPI assigned
Apr 27, 2009
Last updated
Apr 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Oscar Etuk
Title
DPM/Owner
Phone
(718) 787-9288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 006000 NY
Podiatrist 213E00000X 006000 NY Primary

Addresses

Primary practice location

2015 Bath Ave
Brooklyn, NY 11214

Mailing address

2015 Bath Ave
Brooklyn, NY 11214

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1437393048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-787-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW YORK PODIATRY ASSOCIATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "ETUK",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "718-787-9288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "006000",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006000",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 27, 2009; 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.