Organization Active NPI

Step Up Surgical Podiatry, PLLC

  • Podiatrist
  • New York, NY
National Provider Identifier
1467851790
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006527 Issued in NY
Legal business name
STEP UP SURGICAL PODIATRY, PLLC
Practice address
291 Broadway RM 810
New York, NY 10007-1912
Phone
(212) 606-4065
NPI assigned
Aug 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Authorized official

Name
Dr. Nelya Lobkova, DPMNPI 1255628889
Title
Owner
Phone
(212) 606-4065

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 006527 NY Primary

Addresses

Primary practice location

291 Broadway RM 810
New York, NY 10007-1912

Mailing address

2639 E 26TH St
Brooklyn, NY 11235-2419
Phone (718) 753-9523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150112001014 NY Part B Supplier - Clinic/Group Practice 3971827445 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

25 W 43rd St
Ste 209
New York, NY 10036
Phone (212) 921-7900

291 Broadway
Rm 810
New York, NY 10007
Phone (212) 484-0922

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1467851790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352419",
            "telephone_number": "718-753-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BROADWAY RM 810",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071912",
            "telephone_number": "212-606-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP SURGICAL PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "LOBKOVA",
        "authorized_official_first_name": "NELYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-606-4065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.