Active NPI
Rafael Maximilian Abreu, D.P.M.
- Foot Surgery Podiatrist
- Forest Hills, NY
National Provider Identifier
1760601348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 5356
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5356 | NY | MD | Foot Surgery Podiatrist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 5356 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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.