Active NPI
Liliya Gumenik
- Foot & Ankle Surgery Podiatrist
- Fort Bragg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 006563
- Practice address
- 2817 Rock Merritt Ave
Fort Bragg, NC 28310-4040 - Phone
- (910) 907-6000
- Fax
- (718) 228-5272
- NPI assigned
- Jun 27, 2011
- Last updated
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 006563 | NY | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 006563 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 006563 | NY | Primary |
Addresses
Primary practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-4040
Mailing address
2817 Rock Merritt Ave
Fort Bragg, NC 28310-4184
Phone (910) 907-6000
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 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.01 of 100
- Quality
- 98.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006563 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Inna Petrosova Medical PC | Current | Accepting new patients | |
| Intermed Care PC | Current | Accepting new patients | |
| Century Medical & Dental Center Inc | Current | Accepting new patients | |
| Seaview Podiatry P.C. | Current | Accepting new patients | |
| Seaview Podiatry P.C. | Podiatrist | Current | Accepting new patients |
| Manalapan Medical Center PA PC | Current | Accepting new patients | |
| Suny Downstate Medical Center | Past | Accepting new patients |
Locations
345 US Highway 9
Manalapan, NJ 07726
Phone (723) 272-4141
2233 Nostrand Ave
Brooklyn, NY 11210
Phone (718) 258-1714
260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855
3048 Brighton 1st St
Brooklyn, NY 11235
Phone (718) 368-1170
3048 Brighton 1st St
Ste 1
Brooklyn, NY 11235
Phone (718) 368-1170
770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBIEBD
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.
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1063629525
-
- Legal Medicine
- Brooklyn, NY
- NPI 1144235516
-
dba Endocrinology Associates of New Jersey
- Endocrinology, Diabetes & Metabolism Physician
- Manalapan, NJ
- NPI 1821225137
NY
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba St. Mary's Foot and Ankle Center
- Podiatric Clinic/Center
- Staten Island, NY
- NPI 1326446055
-
dba St Mary Foot and Ankle Center
- Podiatric Clinic/Center
- Branchburg, NJ
- NPI 1679384176
Podiatrist
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1457647661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283104184",
"telephone_number": "910-907-6000",
"fax_number": "718-228-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283104040",
"telephone_number": "910-907-6000",
"fax_number": "718-228-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMENIK",
"first_name": "LILIYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2025-07-15",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "006563",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "006563",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "006563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.