Organization Active NPI

Novel Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1679045009
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
NOVEL PODIATRY PLLC
Practice address
28 West 44TH Street
Ste 209
New York, NY 10036
Phone
(212) 921-7900
NPI assigned
Dec 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Sanaz LalehparvarNPI 1902282395
Title
Provider
Phone
(212) 921-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

28 West 44TH Street
Ste 209
New York, NY 10036

Mailing address

28 West 44TH Street
Ste 209
New York, NY 10036
Phone (212) 921-7900

Other practice location 1

233 Broadway Rm 1775
New York, NY 10279-1810
Phone (212) 921-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190613000831 NY Part B Supplier - Clinic/Group Practice 7012240674 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1679045009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WEST 44TH STREET",
            "address_2": "STE 209",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10036",
            "telephone_number": "212-921-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WEST 44TH STREET",
            "address_2": "STE 209",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10036",
            "telephone_number": "212-921-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Broadway Rm 1775",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "102791810",
            "country_code": "US",
            "telephone_number": "212-921-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVEL PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-25",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "LALEHPARVAR",
        "authorized_official_first_name": "SANAZ",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "212-921-7900"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.