Individual provider Active NPI

Julia Bondarenko, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1467560276
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006041-1 Issued in NY
Practice address
1130 Brighton Beach Ave Apt 1CC
Brooklyn, NY 11235-5515
Phone
(718) 648-2707
Fax
(347) 462-2908
NPI assigned
Aug 29, 2006
Last updated
May 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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 N006041-1 NY Primary

Addresses

Primary practice location

1130 Brighton Beach Ave Apt 1CC
Brooklyn, NY 11235-5515

Mailing address

117 Chester Ave
Staten Island, NY 10312-5710
Phone (917) 699-4139

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
I20061106000041 NY Practitioner - Podiatry 7416954482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 Chester Ave
Staten Island, NY 10312-5710
Phone (917) 699-4139

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue74
Removal of nail tissue79
Removal or shaving of skin growth39
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006041-1NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
JB Podiatric Medicine and Surgery PC Foot Surgery CurrentSince Mar 30, 2007 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1467560276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CHESTER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125710",
            "telephone_number": "917-699-4139",
            "fax_number": "718-966-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BRIGHTON BEACH AVE APT 1CC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355515",
            "telephone_number": "718-648-2707",
            "fax_number": "347-462-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDARENKO",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006041-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.