Uvatov Podiatry PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

006193 Issued in NY

Legal business name

UVATOV PODIATRY PC

Practice address

1468 Richmond Ave
Staten Island, NY 10314-1550

Phone

(917) 817-8262

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Tatyana Uvatov, DPMNPI 1568530848

Title

Podiatrist

Phone

(718) 869-1098

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Uvatov Podiatry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Uvatov Podiatry PC

  • Foot Surgery Podiatrist
  • Staten Island, NY
  • NPI 1649442401
  NPD tax ID

Locations

Practitioners 1

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

• Tatyana Uvatov

  • Podiatrist
  • Staten Island, NY
  • NPI 1568530848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1467634253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HENRY PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051359",
            "telephone_number": "718-869-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141550",
            "telephone_number": "917-817-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UVATOV PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "UVATOV",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "718-869-1098",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02940958",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandr Usov, LMSW
• Victoria Usova, COTA
• Paula Jacklyn Uspensky
• Titilola Uthman, LPN
• Arkady Utkin
• Uvatov Podiatry PC
• Tatyana Uvatov
• Lety Uy
• V. George NP in Family Health P.C.
• V&K Acupuncture P.C.

• Foot Surgery Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.