Nadya E Dimitrov, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004243 Issued in NY

Practice address

10 Union SQ E
2N
New York, NY 10003-3314

Phone

(212) 420-4300

Fax

(212) 420-2310

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Madison Avenue Footcare, PC

  • Podiatrist
  • New York, NY
  • NPI 1861567000
  NPD (past) Authorized official
• Icahn School of Medicine at Mount Sinai

  • Surgery Physician
  • New York, NY
  • NPI 1104295716
  NPD (past)
• Progressive Medical Associates

  • Specialist
  • New York, NY
  • NPI 1558568550
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1689750259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 OLD WILLETS PATH",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874120",
            "telephone_number": "212-420-4300",
            "fax_number": "631-724-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "address_2": "2N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-420-4300",
            "fax_number": "212-420-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITROV",
        "first_name": "NADYA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01100283",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Dimichele, MD
• Mary Jo Dimilia, M.D.
• Samantha Elizabeth Dimisa, PH.D.
• Elisabeth Dimitratos, PA
• Diana Maria Dimitri, PH.D.
• Kamellia Rangelova Dimitrova, M.D.
• Maya Dimitrova
• Christopher James Valencia Dimla, PT
• Kara Dimon, LMHC-LP
• Danielle Julia Dimonda, LCSW

• Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.