Active NPI
Simeon Eli Isaacs, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Brooklyn, NY
National Provider Identifier
1811338684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 65 002897
- Practice address
- 721 Flushing Ave
Brooklyn, NY 11206-4419 - Phone
- (800) 235-5000
- NPI assigned
- Jul 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 65 002897 | NY | Primary |
Addresses
Primary practice location
721 Flushing Ave
Brooklyn, NY 11206-4419
Mailing address
721 Flushing Ave
Brooklyn, NY 11206-4419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002897 | NY | MD | Medical Oncology Physician |
| 65 002897 | NY | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Boro Podiatry PLLC | Primary Podiatric Medicine | Current | Accepting new patients |
Locations
953 Southern Blvd
Lbby
Bronx, NY 10459
Phone (347) 326-8999
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Bronx, NY
- NPI 1891123410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1811338684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 FLUSHING AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 FLUSHING AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064419",
"telephone_number": "800-235-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "SIMEON",
"middle_name": "ELI",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-09",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "65 002897",
"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 Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.