Active NPI
Irebo Foot and Ankle Surgery
- Podiatric Clinic/Center
- Bronx, NY
National Provider Identifier
1720318652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 006322
- Legal business name
- IREBO FOOT AND ANKLE SURGERY
- Practice address
- 444 Willis Ave
Bronx, NY 10455-4013 - Phone
- (646) 633-1045
- NPI assigned
- Dec 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Olutunde Aina Shoniregun, DPM
- Title
- Ceo/Director
- Phone
- (646) 633-1045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | 006322 | NY | Primary |
Addresses
Primary practice location
444 Willis Ave
Bronx, NY 10455-4013
Mailing address
1316 E 83Rd St
Brooklyn, NY 11236-5102
Phone (646) 633-1045
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345075200000",
"number": "1720318652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 E 83RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112365102",
"telephone_number": "646-633-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 WILLIS AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104554013",
"telephone_number": "646-633-1045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IREBO FOOT AND ANKLE SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-24",
"last_updated": "2012-08-16",
"status": "A",
"authorized_official_last_name": "SHONIREGUN",
"authorized_official_first_name": "OLUTUNDE",
"authorized_official_middle_name": "AINA",
"authorized_official_title_or_position": "CEO/DIRECTOR",
"authorized_official_telephone_number": "646-633-1045",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "NY",
"license": "006322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.