NPIMap

Organization Active NPI

Fit Feet Podiatry P.C.

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1588747893
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FIT FEET PODIATRY P.C.
Practice address
3111 Brighton 2ND St
L2
Brooklyn, NY 11235-7535
Phone
(718) 332-8633
Fax
(718) 332-0547
NPI assigned
Oct 23, 2006
Last updated
Mar 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Leon Stepensky, DPMNPI 1528042413
Title
President
Phone
(718) 332-8633

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

3111 Brighton 2ND St
L2
Brooklyn, NY 11235-7535

Mailing address

925 Hampton Ave
Brooklyn, NY 11235-3052
Phone (718) 809-7511

Other identifiers 1

IdentifierTypeStateIssuer
02128430MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070515000613 NY Part B Supplier - Clinic/Group Practice 8921999418 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY; Far Rockaway, NY; Merrick, NY

National Provider Directory

National Provider Directory

Locations

3111 Brighton 2nd St
Ste L2
Brooklyn, NY 11235
Phone (718) 332-8633

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1588747893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HAMPTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353052",
            "telephone_number": "718-809-7511",
            "fax_number": "718-228-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 BRIGHTON 2ND ST",
            "address_2": "L2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357535",
            "telephone_number": "718-332-8633",
            "fax_number": "718-332-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT FEET PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "STEPENSKY",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-332-8633",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02128430",
            "state": "NY"
        }
    ],
    "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 Mar 18, 2013; 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.