Organization Active NPI

Mount Zion Podiatry,P.C

Doing business as mount zion foot and ankle center

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1679643209
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MOUNT ZION PODIATRY,P.C
Doing business as
mount zion foot and ankle center
Practice address
106 Pennsylvania Avenue Suite 1
1
Brooklyn, NY 11207-2427
Phone
(718) 385-2085
Fax
(718) 385-5447
NPI assigned
Nov 9, 2006
Last updated
Jul 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Dr. Stephen Emmanuel Owusu, DPM
Title
Podiatrist
Phone
(718) 385-2085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

106 Pennsylvania Avenue Suite 1
1
Brooklyn, NY 11207-2427

Mailing address

106 Pennsylvania Avenue Suite 1
1
Brooklyn, NY 11207-2427
Phone (718) 385-2085

Other identifiers 1

IdentifierTypeStateIssuer
01430542MedicaidNY

Other names 1

  • mount zion foot and ankle center Doing business as

National Provider Directory

National Provider Directory

Locations

106 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 385-2085

106 Pennsylvania Ave
#1
Brooklyn, NY 11207
Phone (718) 385-2085

106 Pennsylvania Ave
Ste 1
Brooklyn, NY 11207
Phone (718) 385-2085

22415 Merrick Blvd
Laurelton, NY 11413
Phone (718) 385-2085

22415 Merrick Blvd
#1
Laurelton, NY 11413
Phone (718) 385-2085

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1679643209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PENNSYLVANIA AVENUE SUITE 1",
            "address_2": "1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072427",
            "telephone_number": "718-385-2085",
            "fax_number": "718-385-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PENNSYLVANIA AVENUE SUITE 1",
            "address_2": "1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072427",
            "telephone_number": "718-385-2085",
            "fax_number": "718-385-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ZION PODIATRY,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "718-385-2085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01430542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mount zion foot and ankle center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.