NPIMap

Organization Active NPI

Einstein Podiatry Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1699495259
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
EINSTEIN PODIATRY ASSOCIATES LLC
Practice address
1335 W Tabor Rd Ste 206
Philadelphia, PA 19141-3040
Phone
(215) 927-2837
Fax
(215) 927-2008
NPI assigned
Sep 1, 2022
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Mohammad Malik, DPMNPI 1841600053
Title
Partner
Phone
(215) 927-2837

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X
Primary Podiatric Medicine Podiatrist 213EP1101X
Sports Medicine Podiatrist 213ES0000X
Foot & Ankle Surgery Podiatrist 213ES0103X Primary
Foot Surgery Podiatrist 213ES0131X

Addresses

Primary practice location

1335 W Tabor Rd Ste 206
Philadelphia, PA 19141-3040

Mailing address

1335 W Tabor Rd Ste 206
Philadelphia, PA 19141-3040
Phone (215) 927-2837

Other practice location 1

821 Huntingdon Pike Ste 206
Huntingdon Valley, PA 19006-8372
Phone (215) 927-2837

Other identifiers 2

IdentifierTypeStateIssuer
1841600053MedicaidPA
1346604345MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221018001846 PA Part B Supplier - Clinic/Group Practice 6709252604 Receives reassigned benefits from 4 practitioners
Practice locations: Jenkintown, PA; Philadelphia, PA
O20231218003162 PA DME Supplier - Physician - Podiatry 6709252604 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Tax ID family
Einstein Podiatry Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1335 W Tabor Rd
Ste 206
Philadelphia, PA 19141
Phone (215) 927-2837

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1699495259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD STE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413040",
            "telephone_number": "215-927-2837",
            "fax_number": "215-927-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD STE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413040",
            "telephone_number": "215-927-2837",
            "fax_number": "215-927-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Huntingdon Pike Ste 206",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190068372",
            "country_code": "US",
            "telephone_number": "215-927-2837",
            "fax_number": "215-927-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EINSTEIN PODIATRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "215-927-2837",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841600053",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346604345",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.