NPIMap

Organization Active NPI

Avl Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1780819557
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006226 Issued in NY
Legal business name
AVL PODIATRY PC
Practice address
1401 Elm Ave
Suite D
Brooklyn, NY 11230-5945
Phone
(191) 768-7758
Fax
(718) 886-1413
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. Aleksander Valentinovich Lavrenov, D.P.M.
Title
President
Phone
(917) 687-7528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 006226 NY Primary

Addresses

Primary practice location

1401 Elm Ave
Suite D
Brooklyn, NY 11230-5945

Mailing address

1401 Elm Ave
Suite D
Brooklyn, NY 11230-5945
Phone (917) 687-7528

National Provider Directory

National Provider Directory

Locations

1401 Elm Ave
Ste D
Brooklyn, NY 11230

13620 38th Ave
Ste 3A1
Flushing, NY 11354
Phone (718) 321-1158

Practitioners & affiliated clinicians

Practitioners 5

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": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1780819557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ELM AVE",
            "address_2": "SUITE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305945",
            "telephone_number": "917-687-7528",
            "fax_number": "718-886-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ELM AVE",
            "address_2": "SUITE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305945",
            "telephone_number": "191-768-7758",
            "fax_number": "718-886-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVL PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "LAVRENOV",
        "authorized_official_first_name": "ALEKSANDER",
        "authorized_official_middle_name": "VALENTINOVICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-687-7528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006226",
            "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 Oct 17, 2011; 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.