Individual provider Active NPI

Danielle Dubois, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1689103632
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007111 Issued in NY
Practice address
815 Broadway
Brooklyn, NY 11206-5318
Phone
(646) 614-8327
Fax
(646) 614-8327
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 007111 NY Primary

Addresses

Primary practice location

815 Broadway
Brooklyn, NY 11206-5318

Mailing address

485 Atlantic Ave Apt 3
Brooklyn, NY 11217-1890
Phone (401) 824-6318

Other practice location 1

100 North Portlant Ave
Brooklyn, NY 11205
Phone (646) 614-8327

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
I20210519000210 NY Practitioner - Podiatry 6507265832 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

815 Broadway
Brooklyn, NY 11206-5318
Phone (718) 388-5889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007111NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Feb 16, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Feb 16, 2025 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients

Locations

100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500

815 Broadway
Brooklyn, NY 11206
Phone (646) 614-8200

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

Networks

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

Interoperability endpoints

  • Direct secure messaging: ddubois3495451@nychhc.direct-ci.com

Organizations & group practices 3

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1689103632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ATLANTIC AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171890",
            "telephone_number": "401-824-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065318",
            "telephone_number": "646-614-8327",
            "fax_number": "646-614-8327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 North Portlant Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11205",
            "country_code": "US",
            "telephone_number": "646-614-8327",
            "fax_number": "646-614-8327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "DANIELLE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.