Active NPI
Podiatry of Brooklyn PLLC
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
National Provider Identifier
1861024903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PODIATRY OF BROOKLYN PLLC
- Practice address
- 3079 Brighton 13TH St FL 1
Brooklyn, NY 11235-5607 - Phone
- (718) 554-3862
- Fax
- (718) 554-0979
- NPI assigned
- Feb 6, 2020
- 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
- Yelena Voronova
- Title
- Managing Member
- Phone
- (718) 554-3862
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
3079 Brighton 13TH St FL 1
Brooklyn, NY 11235-5607
Mailing address
3079 Brighton 13TH St FL 1
Brooklyn, NY 11235-5607
Phone (718) 554-3862
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | doctoryelena@yahoo.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1580947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586908800000",
"number": "1861024903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3079 BRIGHTON 13TH ST FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355607",
"telephone_number": "718-554-3862",
"fax_number": "718-554-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3079 BRIGHTON 13TH ST FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355607",
"telephone_number": "718-554-3862",
"fax_number": "718-554-0979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY OF BROOKLYN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-06",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A",
"authorized_official_last_name": "VORONOVA",
"authorized_official_first_name": "YELENA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "718-554-3862"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "doctoryelena@yahoo.com",
"affiliation": "N",
"endpointDescription": "NEVER USED",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "NONE",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3079 Brighton 13th St Fl 1",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112355607",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 15, 2020; 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.