Diwarn Small, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

65006373 Issued in NY

Practice address

1430 Doris St
Apt 4 F
Bronx, NY 10462-4990

Phone

(718) 825-9900

NPI assigned

Jul 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cohn Plastic Surgery, PC

  • Medical Specialty Clinic/Center
  • Smithtown, NY
  • NPI 1356126411
  NPD (past)
• Sound Foot Care PC

  • Foot Surgery Podiatrist
  • Smithtown, NY
  • NPI 1982755187
  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1508178195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 DORIS ST",
            "address_2": "APT 4 F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 DORIS ST",
            "address_2": "APT 4 F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624990",
            "telephone_number": "718-825-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "DIWARN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "65006373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefany Smadja
• Sabrina Smakovic
• Renee Small-Haynes, RD
• Akeira V Small
• Alexander Charles Small, MD
• Jamelia Small
• Kathy Small
• Rebekah Small, LCSW
• Sarah Small, MD
• Rebecca Alexandra Smallberg

• Foot & Ankle Surgery Podiatrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.