Individual provider Active NPI

Nazila Sara Munesa, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1710216742
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006386 Issued in NY
Practice address
4317 13TH Ave
Brooklyn, NY 11219-1337
Phone
(917) 841-3521
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006386 NY Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00305700 NJ

Addresses

Primary practice location

4317 13TH Ave
Brooklyn, NY 11219-1337

Mailing address

4317 13TH Ave
Brooklyn, NY 11219-1337
Phone (917) 841-3521

Other names 1

  • Dr. Nazila Sara Munesa Professional name

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
I20110819000078 NY Practitioner - Podiatry 0345419255 Reassigns benefits to 2 organizations
Practice locations: Far Rockaway, NY; New York, NY; Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

379 Pleasant Ave
Apt 1
New York, NY 10035-3707
Phone (212) 831-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions33
Removal of nail tissue336
Removal or shaving of skin growth31
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00305700NJMDFoot & Ankle Surgery Podiatrist
N006386NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Side Foot Care PC Foot & Ankle Surgery CurrentSince Jan 1, 2022 Accepting new patients
David Gordon DPM PC Foot & Ankle Surgery CurrentSince Apr 8, 2012 Accepting new patients

Locations

242 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 471-0982

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

229 Beach 20th St
Far Rockaway, NY 11691

231 E 106th St
New York, NY 10029
Phone (212) 348-0020

110 Henderson Ave
Staten Island, NY 10301
Phone (516) 295-1924

Networks

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

Organizations & group practices 2

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": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1710216742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191337",
            "telephone_number": "917-841-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191337",
            "telephone_number": "917-841-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNESA",
        "first_name": "NAZILA",
        "middle_name": "SARA",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006386",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00305700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAZILA",
            "last_name": "MUNESA",
            "middle_name": "SARA",
            "prefix": "DR.",
            "credential": "D.P.M",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.