Alan R Teitelbaum, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

N002880 Issued in NY

Practice address

315 E 86TH St
1Ge
New York, NY 10028-4714

Phone

(212) 369-9494

Fax

(212) 369-9488

NPI assigned

Jan 25, 2006

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

Other identifiers 1

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.

• Terry Robertson DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1366973232
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1609846468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 86TH ST",
            "address_2": "1GE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284714",
            "telephone_number": "212-369-9494",
            "fax_number": "212-369-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 86TH ST",
            "address_2": "1GE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284714",
            "telephone_number": "212-369-9494",
            "fax_number": "212-369-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITELBAUM",
        "first_name": "ALAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N002880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Dan Teitel, MD
• David I. Teitel, MD
• Eric David Teitel, M.D.
• Michael G Teitel, MD
• Rachel Megan Teitel, LCSW-R
• Ezra Teitelbaum, DSW, LCSW
• Jill Teitelbaum, MD
• Mitchell Teitelbaum, DDS
• Stanley H Teitelbaum
• Stefanie C. Teitelbaum, LSCW

• Primary Podiatric Medicine Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.