Active NPI
Eastern Podiatry PLLC
- Primary Podiatric Medicine Podiatrist
- Silver Spring, MD
National Provider Identifier
1659687952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 004639
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 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 DirectoryNPI 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.