Organization Active NPI

Tri-Boro Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Brooklyn, NY
National Provider Identifier
1730505157
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
002897 Issued in NY
Legal business name
TRI-BORO PODIATRY PLLC
Practice address
741 Flushing Ave
Lower Level
Brooklyn, NY 11206-4419
Phone
(646) 655-0001
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Simeon Eli Isaacs, D.P.M.
Title
Member
Phone
(786) 351-8969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 002897 NY Primary

Addresses

Primary practice location

741 Flushing Ave
Lower Level
Brooklyn, NY 11206-4419

Mailing address

1241 E 8TH St
Brooklyn, NY 11230-5105
Phone (786) 351-8969

National Provider Directory

National Provider Directory

Locations

741 Flushing Ave
Lowr
Brooklyn, NY 11206
Phone (646) 655-0001

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1730505157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305105",
            "telephone_number": "786-351-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 FLUSHING AVE",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064419",
            "telephone_number": "646-655-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-BORO PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "786-351-8969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "002897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.