Individual provider Active NPI

Jeffrey Mayer Knobel, D.P.M.

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1750492773
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004896 Issued in NY
Practice address
1636 E 14TH St
Suite 105
Brooklyn, NY 11229-1100
Phone
(718) 336-1800
Fax
(718) 336-5968
NPI assigned
Aug 31, 2006
Last updated
May 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004896 NY Primary
Primary Podiatric Medicine Podiatrist 213EP1101X N004896 NY
Radiology Podiatrist 213ER0200X N004896 NY
Sports Medicine Podiatrist 213ES0000X N004896 NY
Foot Surgery Podiatrist 213ES0131X N004896 NY

Addresses

Primary practice location

1636 E 14TH St
Suite 105
Brooklyn, NY 11229-1100

Mailing address

1636 E 14TH St
Suite 105
Brooklyn, NY 11229-1100
Phone (718) 336-1800

Other identifiers 1

IdentifierTypeStateIssuer
01273789MedicaidNY

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
I20050621000416 NY Practitioner - Podiatry 3678518669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16 Sumner PL
Brooklyn, NY 11206-4110
Phone 71895188002102

1636 E 14TH St
Suite 105
Brooklyn, NY 11229-1100
Phone (718) 336-1800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue239
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004896NYMDMental Health Counselor
N004896NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Aug 1, 2024 Accepting new patients
Frank & Knobel PTR Podiatrist CurrentSince Apr 1, 1993 Accepting new patients
Quality Health Center Past Accepting new patients
JHMC Diagnostic and Treatment Center Podiatrist Past Accepting new patients
Ramon Delmonte, MD, P.C. Past Accepting new patients

Locations

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

1636 E 14th St
Ste 105
Brooklyn, NY 11229
Phone (718) 336-1800

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGIGAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1750492773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 E 14TH ST",
            "address_2": "SUITE 105",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291100",
            "telephone_number": "718-336-1800",
            "fax_number": "718-336-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 E 14TH ST",
            "address_2": "SUITE 105",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291100",
            "telephone_number": "718-336-1800",
            "fax_number": "718-336-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBEL",
        "first_name": "JEFFREY",
        "middle_name": "MAYER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004896",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N004896",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NY",
            "license": "N004896",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "N004896",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004896",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01273789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.