Individual provider Active NPI

Rafael Maximilian Abreu, D.P.M.

  • Foot Surgery Podiatrist
  • Forest Hills, NY
National Provider Identifier
1760601348
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5356 Issued in NY
Practice address
7734 Austin St Apt 5D
Forest Hills, NY 11375-6930
Phone
(917) 687-1085
Fax
(718) 520-2561
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5356NYMDFoot Surgery Podiatrist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 5356 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

7734 Austin St Apt 5D
Forest Hills, NY 11375-6930

Mailing address

7734 Austin St Apt 5D
Forest Hills, NY 11375-6930
Phone (917) 687-1085

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760601348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7734 AUSTIN ST APT 5D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756930",
            "telephone_number": "917-687-1085",
            "fax_number": "718-520-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 AUSTIN ST APT 5D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756930",
            "telephone_number": "917-687-1085",
            "fax_number": "718-520-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU",
        "first_name": "RAFAEL",
        "middle_name": "MAXIMILIAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "5356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.