Madison Avenue Footcare, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004243 Issued in NY

Legal business name

MADISON AVENUE FOOTCARE, PC

Doing business as

Nadya Dimitrov, DPM

Practice address

10 Union SQ E
2N
New York, NY 10003-3314

Phone

(212) 844-8211

Fax

(212) 844-8201

NPI assigned

Nov 22, 2006

Last updated

Jul 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nadya E Dimitrov, D.P.M.NPI 1689750259

Title

Owner

Phone

(212) 689-0206

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nadya Dimitrov, DPM Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nadya E Dimitrov, DPM

  • Podiatrist
  • New York, NY
  • NPI 1689750259
  NPD (past) Authorized official
• Joseph A Holzapfel, D.P.M.

  • Podiatrist
  • Cliffside Park, NJ
  • NPI 1538291455
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1861567000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 OLD WILLETS PATH",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874120",
            "telephone_number": "212-689-0206",
            "fax_number": "631-724-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "address_2": "2N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8211",
            "fax_number": "212-844-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON AVENUE FOOTCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "DIMITROV",
        "authorized_official_first_name": "NADYA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-689-0206",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01100283",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nadya Dimitrov, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Avenue Dental Care PLLC
• Madison Avenue Dental Studio
• Madison Avenue Dentistry, PLLC
• Madison Avenue Emergency Medicine PC
• Madison Avenue Eye Care LTD.
• Madison Avenue Hearing LLC
• Madison Avenue MRI PC
• Madison Avenue Operatory
• Madison Avenue Optical LLC (James Tracey Eye Care)
• Madison Avenue Oral Surgery and Implant Center, PC

• Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.