Surgical Podiatry P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SURGICAL PODIATRY P.C.

Practice address

4801 Fort Hamilton Pkwy
Brooklyn, NY 11219

Phone

(718) 853-7469

Fax

(718) 972-7679

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

McElvin Matthew Pope, DPMNPI 1427436989

Title

DPM

Phone

(718) 853-7469

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Surgical 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.

• Surgical Podiatry PC

  • Podiatrist
  • Old Westbury, NY
  • NPI 1902353394
  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.

• McElvin Pope

  • Podiatrist
  • New York, NY
  • NPI 1427436989
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1487101077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRIDLE PATH DR",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "11568",
            "telephone_number": "917-328-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-853-7469",
            "fax_number": "718-972-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "MCELVIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "718-853-7469",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surfside Pharmacy LLC
• Tamara Claudine Surgeon
• Tashai Surgeon, PMHNP
• Surgery of Tomorrow, LLC
• Surgical Oncology Associates
• Surgical Sock Shop II Inc
• Surging Voyage ABA
• Fatima Surhati
• Isha Suri, DMD
• Simrat Suri, M.D.

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.