Individual provider Active NPI

Elizabeth Youngewirth, DPM

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1669418992
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005324-1 Issued in NY
Practice address
4915 Broadway
New York, NY 10034-3119
Phone
(212) 567-6126
Fax
(212) 567-7463
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005324-1 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4915 Broadway
New York, NY 10034-3119

Mailing address

4915 Broadway
New York, NY 10034-3119
Phone (212) 567-6126

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
I20040301000766 NY Practitioner - Podiatry 3173410628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
E Youngewirth DPM PLLCGroup PAC ID 1759402225, 2 clinicians

Practice addresses (Care Compare)

4915 Broadway
New York, NY 10034-3119
Phone (212) 567-6126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue223
Removal of skin lesions26
Removal of nail tissue1528
Removal or shaving of skin growth1087
Skin biopsy19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005324-1NYMDFoot Surgery Podiatrist
005324NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
E Youngewirth DPM PLLC Foot Surgery CurrentSince Jun 1, 1997 Accepting new patients
Stat Health Medical Services, P.C. Past Accepting new patients

Locations

4915 Broadway
New York, NY 10034
Phone (212) 304-4646

Networks

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

Organizations & group practices 2

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1669418992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343119",
            "telephone_number": "212-567-6126",
            "fax_number": "212-567-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343119",
            "telephone_number": "212-567-6126",
            "fax_number": "212-567-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGEWIRTH",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005324-1",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.