NPIMap

Organization Active NPI

Tri-Boro Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Bronx, NY
National Provider Identifier
1891123410
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
65-002897 Issued in NY
Legal business name
TRI-BORO PODIATRY PLLC
Practice address
953 Southern Blvd
Lobby
Bronx, NY 10459-3428
Phone
(347) 590-2707
Fax
(347) 590-2706
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Dr. Simeon Isaacs, DPMNPI 1811338684
Title
Manager
Phone
(786) 351-8969

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
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 65-002897 NY Primary

Addresses

Primary practice location

953 Southern Blvd
Lobby
Bronx, NY 10459-3428

Mailing address

1241 E 8TH St
Brooklyn, NY 11230-5105
Phone (786) 351-8969

National Provider Directory

National Provider Directory

Practitioners & 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": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1891123410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305105",
            "telephone_number": "786-351-8969",
            "fax_number": "347-590-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 SOUTHERN BLVD",
            "address_2": "LOBBY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593428",
            "telephone_number": "347-590-2707",
            "fax_number": "347-590-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-BORO PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-351-8969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "65-002897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.