Individual provider Active NPI

Ann Christine Nylund, DPM

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1487720249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005454 Issued in NY
Practice address
450 Fashion Ave Ste 1004
New York, NY 10123-1004
Phone
(212) 564-2331
Fax
(212) 564-7081
NPI assigned
Nov 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 N005454 NY Primary

Addresses

Primary practice location

450 Fashion Ave Ste 1004
New York, NY 10123-1004

Mailing address

504 Coudert PL
Wyckoff, NJ 07481-1015
Phone (201) 560-0179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005454NYMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487720249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 COUDERT PL",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811015",
            "telephone_number": "201-560-0179",
            "fax_number": "201-560-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FASHION AVE STE 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101231004",
            "telephone_number": "212-564-2331",
            "fax_number": "212-564-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYLUND",
        "first_name": "ANN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.