Organization Active NPI

Akselrud Podiatry Care PC

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1477067452
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006831-1 Issued in NY
Legal business name
AKSELRUD PODIATRY CARE PC
Practice address
2671 E 64TH St FL 2
Brooklyn, NY 11234-6815
Phone
(646) 226-7022
Fax
(646) 226-7022
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Yana Akselrud, DPMNPI 1326450099
Title
Podiatrist
Phone
(646) 226-7022

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 006831-1 NY
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 006831-1 NY Primary

Addresses

Primary practice location

2671 E 64TH St FL 2
Brooklyn, NY 11234-6815

Mailing address

2671 E 64TH St FL 2
Brooklyn, NY 11234-6815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180327000143 NY Part B Supplier - Clinic/Group Practice 5294097580 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY; Rego Park, NY; Franklin Square, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

397 Franklin Ave
Franklin Square, NY 11010
Phone (516) 470-0996

6333 98th Pl
Ste 1C
Rego Park, NY 11374
Phone (646) 226-7022

800 Manor Rd
Ste 4
Staten Island, NY 10314
Phone (718) 448-6800

Practitioners & affiliated clinicians

Practitioners 1

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": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1477067452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 E 64TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 E 64TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346815",
            "telephone_number": "646-226-7022",
            "fax_number": "646-226-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKSELRUD PODIATRY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "AKSELRUD",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "646-226-7022",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "006831-1",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006831-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.