Organization Active NPI

Alexander Reyzelman, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Burlingame, CA
National Provider Identifier
1639835267
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ALEXANDER REYZELMAN, DPM, INC.
Practice address
1720 Marco Polo Way Ste a
Burlingame, CA 94010-4513
Phone
(650) 692-4778
NPI assigned
Nov 9, 2021
Last updated
Apr 9, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ALEXANDER REYZELMAN, DPM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Authorized official

Name
Alexander Reyzelman, DPMNPI 1023192721
Title
Cmo
Phone
(415) 292-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1720 Marco Polo Way Ste a
Burlingame, CA 94010-4513

Mailing address

2299 Post St Ste 205
San Francisco, CA 94115-3473
Phone (415) 292-0638

National Provider Directory

National Provider Directory
Part of
Alexander Reyzelman DPM Inc

Practitioners & affiliated clinicians

Practitioners 1

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": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649462400000",
    "number": "1639835267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153473",
            "telephone_number": "415-292-0638",
            "fax_number": "855-621-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MARCO POLO WAY STE A",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104513",
            "telephone_number": "650-692-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER REYZELMAN, DPM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEXANDER REYZELMAN, DPM, INC.",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.