Organization Active NPI

R. Vinelle Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1518416627
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006461 Issued in NY
Legal business name
R. VINELLE PODIATRY PLLC
Practice address
360 9TH St
Brooklyn, NY 11215-4008
Phone
(718) 499-2498
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Dr. Roxann Vinelle Clarke, DPM
Title
Owner
Phone
(718) 499-2498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 006461 NY Primary

Addresses

Primary practice location

360 9TH St
Brooklyn, NY 11215-4008

Mailing address

360 9TH St
Brooklyn, NY 11215-4008
Phone (718) 499-2498

National Provider Directory

National Provider Directory

Locations

360 9th St
Brooklyn, NY 11215
Phone (212) 417-0150

161 Madison Ave
Ste 7SW
New York, NY 10016
Phone (212) 564-2331

Practitioners & affiliated clinicians

Practitioners 2

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": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1518416627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154008",
            "telephone_number": "718-499-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154008",
            "telephone_number": "718-499-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. VINELLE PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_middle_name": "VINELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-499-2498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006461",
            "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 Sep 30, 2016; 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.