Organization Active NPI

Foot Associates of New York PC

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
National Provider Identifier
1447677349
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N004533 Issued in NY
Legal business name
FOOT ASSOCIATES OF NEW YORK PC
Practice address
3616 Henry Hudson Pkwy
Bronx, NY 10463-1505
Phone
(718) 548-5757
Fax
(718) 549-9622
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Tzvi Bar-David, DPMNPI 1912065996
Title
DPM
Phone
(718) 548-5757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N004533 NY Primary

Addresses

Primary practice location

3616 Henry Hudson Pkwy
Bronx, NY 10463-1505

Mailing address

3616 Henry Hudson Pkwy
Bronx, NY 10463-1505
Phone (718) 548-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150105001443 NY Part B Supplier - Clinic/Group Practice 5597088286 Receives reassigned benefits from 3 practitioners
Practice locations: Bronx, NY; New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1447677349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 HENRY HUDSON PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631505",
            "telephone_number": "718-548-5757",
            "fax_number": "718-549-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 HENRY HUDSON PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631505",
            "telephone_number": "718-548-5757",
            "fax_number": "718-549-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT ASSOCIATES OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "BAR-DAVID",
        "authorized_official_first_name": "TZVI",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "718-548-5757",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.