Organization Active NPI

Jaideep Chopra DPM PC

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1750714218
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JAIDEEP CHOPRA DPM PC
Practice address
1324 Bergen St
Brooklyn, NY 11213-1530
Phone
(215) 668-6814
NPI assigned
Aug 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Jaideep ChopraNPI 1376537985
Title
Owner
Phone
(215) 668-6814

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1324 Bergen St
Brooklyn, NY 11213-1530

Mailing address

1120 Warburton Ave
Suite 4E
Yonkers, NY 10701-1054
Phone (215) 668-6814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131017000576 NY Part B Supplier - Clinic/Group Practice 3870727274 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20160222001692 NY DME Supplier - Physician - Podiatry 3870727274 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1315 Foster Ave
Brooklyn, NY 11230
Phone (718) 774-5224

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1750714218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 WARBURTON AVE",
            "address_2": "SUITE 4E",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011054",
            "telephone_number": "215-668-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BERGEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131530",
            "telephone_number": "215-668-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIDEEP CHOPRA DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "CHOPRA",
        "authorized_official_first_name": "JAIDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-668-6814"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "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 Aug 19, 2013; 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.