Individual provider Active NPI

Michael Paul Nagelberg, DOCTOR OF PODIATRY

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1821394628
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006458 Issued in NY
Practice address
284 9TH St
Brooklyn, NY 11215-3906
Phone
(718) 768-4529
Fax
(718) 768-0595
NPI assigned
Jan 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 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 N006458 NY Primary

Addresses

Primary practice location

284 9TH St
Brooklyn, NY 11215-3906

Mailing address

284 9TH St
Brooklyn, NY 11215-3906
Phone (718) 768-4529

Other identifiers 1

IdentifierTypeStateIssuer
03480146MedicaidNY

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
I20120716000151 NY Practitioner - Podiatry 7618133810 Reassigns benefits to 2 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Goldberg and Pellegrini, MD, P.C.Group PAC ID 2860381233, 8 clinicians

Practice addresses (Care Compare)

284 9TH St
Brooklyn, NY 11215-3906
Phone (718) 768-4529

380 88TH St
Brooklyn, NY 11209-5665
Phone (718) 748-5482

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue72
Removal or shaving of skin growth26
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006458NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Slope Podiatry, PC Foot & Ankle Surgery CurrentSince Jun 28, 2015 Accepting new patients
Goldberg & Pellegrini, MD, P.C. CurrentSince Jul 9, 2012 Accepting new patients
Herbert C Schmirer, DPM, PC Past Accepting new patients
Les Jay Glubo DPM PC Past Accepting new patients

Locations

284 9th St
Brooklyn, NY 11215
Phone (718) 768-0923

360 9th St
Brooklyn, NY 11215
Phone (212) 417-0150

380 88th St
Ste 1
Brooklyn, NY 11209

Networks

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

Interoperability endpoints

  • Direct secure messaging: michaelnagelberg@direct.meditouchehr.com
  • Direct secure messaging: michael.nagelberg@ppp-ny.direct.office.nextgen.com
  • Direct secure messaging: mpn9003@direct.nyp.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1821394628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153906",
            "telephone_number": "718-768-4529",
            "fax_number": "718-768-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153906",
            "telephone_number": "718-768-4529",
            "fax_number": "718-768-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGELBERG",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PODIATRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03480146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.