Individual provider Active NPI

Aleksandr Druker, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1447453584
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006316 Issued in NY
Practice address
2005 Ocean Ave
Brooklyn, NY 11230-7335
Phone
(718) 645-4324
NPI assigned
Jun 7, 2007
Last updated
Jul 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N006316 NY Primary

Addresses

Primary practice location

2005 Ocean Ave
Brooklyn, NY 11230-7335

Mailing address

1818 79TH St
Apt D2
Brooklyn, NY 11214-1754
Phone (718) 621-5348

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000675 NY Practitioner - Podiatry 1850444555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8405 Bay Pkwy
Brooklyn, NY 11214-3359
Phone (718) 232-1120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1561
Removal or shaving of skin growth66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006316NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Drukers Foot Care PC CurrentSince Oct 11, 2009 Accepting new patients
Global Podiatry PC CurrentSince Jun 17, 2009 Accepting new patients
Mermaid Operating Co, LLC PastSince Nov 4, 2005 Accepting new patients
Hartford Medical PC Past Accepting new patients
Edison Medical PC Past Accepting new patients
Omni Medical Arts PC Past Accepting new patients
Mermaid Management Inc PastSince Jun 1, 2011 Accepting new patients

Locations

153 Bay 26th St
Brooklyn, NY 11214
Phone (347) 702-9958

2005 Ocean Ave
Brooklyn, NY 11230
Phone (718) 375-8052

2769 Coney Island Ave
Ste 2
Brooklyn, NY 11235
Phone (347) 462-9170

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aleksandrdruker@mai.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1447453584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 79TH ST",
            "address_2": "APT D2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141754",
            "telephone_number": "718-621-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307335",
            "telephone_number": "718-645-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUKER",
        "first_name": "ALEKSANDR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.