Individual provider Active NPI

Yahaya Nauzo, DPM

  • Primary Podiatric Medicine Podiatrist
  • Brooklyn, NY
National Provider Identifier
1598854150
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N004901-1 Issued in NY
Practice address
341 Decatur St
Brooklyn, NY 11233-1804
Phone
(718) 613-1353
Fax
(718) 613-1354
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N004901-1 NY Primary

Addresses

Primary practice location

341 Decatur St
Brooklyn, NY 11233-1804

Mailing address

341 Decatur St
Brooklyn, NY 11233-1804
Phone (718) 613-1353

Other identifiers 1

IdentifierTypeStateIssuer
01340954MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000468 NY Practitioner - Podiatry 0244429751 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BP Immediate Medical Care, PCGroup PAC ID 8628295581, 25 clinicians

Practice addresses (Care Compare)

3808 14TH Ave
Brooklyn, NY 11218-3610
Phone (718) 972-2424

8811 169TH St
Jamaica, NY 11432-4430
Phone (209) 292-6878

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
N004901-1NYMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
BP Immediate Medical Care, PC CurrentSince Nov 24, 2024 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Sep 1, 2023 Accepting new patients
Rockland Medical Group, PLLC PastSince Apr 15, 2017 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Knickerbocker Medical Care P.C. PastSince Feb 21, 2024 Accepting new patients

Locations

3808 14th Ave
Brooklyn, NY 11218
Phone (718) 972-2424

735 Bedford Ave
Brooklyn, NY 11205
Phone (201) 688-2424

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

7537 31st Ave
Flushing, NY 11370
Phone (929) 447-7513

2 Suffern Ln
Garnerville, NY 10923
Phone (845) 218-0809

25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598854150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 DECATUR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331804",
            "telephone_number": "718-613-1353",
            "fax_number": "718-613-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 DECATUR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331804",
            "telephone_number": "718-613-1353",
            "fax_number": "718-613-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUZO",
        "first_name": "YAHAYA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N004901-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01340954",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.