Individual provider Active NPI

Jeffrey Gregory Kagan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Franklin Square, NY
National Provider Identifier
1790247377
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N007229-01 Issued in NY
Practice address
925 Hempstead Tpke Ste 110
Franklin Square, NY 11010-3636
Phone
(516) 352-4454
NPI assigned
Apr 3, 2019
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N007229-01 NY Primary

Addresses

Primary practice location

925 Hempstead Tpke Ste 110
Franklin Square, NY 11010-3636

Mailing address

925 Hempstead Tpke Ste 110
Franklin Square, NY 11010-3636
Phone (516) 352-4454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220421000821 NY Practitioner - Podiatry 5193112191 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 Covert Ave
Floral Park, NY 11001-3218
Phone (516) 712-6262

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63
Removal of nail tissue177
Removal or shaving of skin growth49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007229NYMDAcupuncturist
N007229-01NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Forward Podiatry PC CurrentSince Oct 15, 2022 Accepting new patients
Kelly Lucas DPM PC Foot & Ankle Surgery CurrentSince Jul 31, 2022 Accepting new patients
Philip M. Palmeri, DPM, PC CurrentSince Jun 1, 2023 Accepting new patients
Foot Forward Podiatry, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

925 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 328-7777

925 Hempstead Tpke
Ste 110
Franklin Square, NY 11010
Phone (516) 352-3417

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jkagan533899@nyumc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1790247377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HEMPSTEAD TPKE STE 110",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103636",
            "telephone_number": "516-352-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HEMPSTEAD TPKE STE 110",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103636",
            "telephone_number": "516-352-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "JEFFREY",
        "middle_name": "GREGORY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007229-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.