New York Jewish American Podiatry Practice PLLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

N005994-1 Issued in NY

Legal business name

NEW YORK JEWISH AMERICAN PODIATRY PRACTICE PLLC

Practice address

3079 Brighton 13TH St FL 1
Brooklyn, NY 11235

Phone

(718) 554-3862

Fax

(718) 554-0979

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Yelena Voronova, DPMNPI 1710912209

Title

Member

Phone

(718) 554-3862

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Yelena Voronova, D.P.M.

  • Foot Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1710912209

  Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Anton Gurevich, MD

  • Student in an Organized Health Care Education/Training Program
  • Brooksville, FL
  • NPI 1326987249
  NPD

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1871083899",
    "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": "11235",
            "telephone_number": "718-554-3862",
            "fax_number": "718-554-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK JEWISH AMERICAN PODIATRY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "VORONOVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-554-3862",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N005994-1",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005994-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Podiatric Medicine Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.