Organization Active NPI

Eastern Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Silver Spring, MD
National Provider Identifier
1659687952
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
004639 Issued in NY
Legal business name
EASTERN PODIATRY PLLC
Practice address
3227 Bel Pre Rd
Silver Spring, MD 20906-2423
Phone
(718) 972-5000
Fax
(718) 972-3774
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Dr. Alan Tajerstein, DPM
Title
Sole Proprietor
Phone
(718) 972-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 004639 NY Primary

Addresses

Primary practice location

3227 Bel Pre Rd
Silver Spring, MD 20906-2423

Mailing address

2802 Avenue P
Brooklyn, NY 11229-1810
Phone (718) 972-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1659687952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291810",
            "telephone_number": "718-972-5000",
            "fax_number": "718-972-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 BEL PRE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062423",
            "telephone_number": "718-972-5000",
            "fax_number": "718-972-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "TAJERSTEIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "718-972-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "004639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.