Active NPI
All Borough Podiatry PC
- Podiatrist
- Staten Island, NY
National Provider Identifier
1780323113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- ALL BOROUGH PODIATRY PC
- Practice address
- 796 Castleton Ave
Staten Island, NY 10310-1800 - Phone
- (347) 943-7766
- NPI assigned
- Jun 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- M Nayeem
- Title
- Manager
- Phone
- (347) 943-7766
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Public Medicine Podiatrist | 213EP0504X | |||
| Sports Medicine Podiatrist | 213ES0000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Foot Surgery Podiatrist | 213ES0131X |
Addresses
Primary practice location
796 Castleton Ave
Staten Island, NY 10310-1800
Mailing address
2685 Pitkin Ave
Brooklyn, NY 11208-3892
Phone (347) 943-7766
Other practice location 1
531 Targee St
Staten Island, NY 10304-3501
Phone (646) 837-5448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Jamaica, NY
- NPI 1437776572
-
- Podiatrist
- Bronx, NY
- NPI 1932842374
-
- Podiatrist
- Staten Island, NY
- NPI 1376004507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1780323113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2685 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112083892",
"telephone_number": "347-943-7766",
"fax_number": "516-299-6316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "796 CASTLETON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101800",
"telephone_number": "347-943-7766"
}
],
"practiceLocations": [
{
"address_1": "531 Targee St",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103043501",
"country_code": "US",
"telephone_number": "646-837-5448",
"fax_number": "718-554-7788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALL BOROUGH PODIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-02",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "NAYEEM",
"authorized_official_first_name": "M",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "347-943-7766"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213EP0504X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Public Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.