Organization Active NPI

East 40TH Podiatry, PC

  • Podiatrist
  • New York, NY
National Provider Identifier
1881736114
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004184 Issued in NY
Legal business name
EAST 40TH PODIATRY, PC
Practice address
30 E 40TH St
Suite 401
New York, NY 10016-1201
Phone
(212) 685-5100
Fax
(646) 742-1577
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ernest Simon Levi, D.P.M.NPI 1801896055
Title
Owner
Phone
(212) 685-5100

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N004184 NY Primary

Addresses

Primary practice location

30 E 40TH St
Suite 401
New York, NY 10016-1201

Mailing address

30 E 40TH St
Suite 401
New York, NY 10016-1201
Phone (212) 685-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110204000197 NY Part B Supplier - Clinic/Group Practice 2961682133 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20181112002523 NY DME Supplier - Physician - Podiatry 2961682133 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

30 E 40th St
Rm 401
New York, NY 10016
Phone (212) 420-6002

30 Park Ave
Frnt 4
New York, NY 10016
Phone (212) 685-5100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881736114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161201",
            "telephone_number": "212-685-5100",
            "fax_number": "646-742-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161201",
            "telephone_number": "212-685-5100",
            "fax_number": "646-742-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST 40TH PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-685-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.