Foundations Podiatry P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

FOUNDATIONS PODIATRY P.C.

Practice address

1368 Clove Rd
Staten Island, NY 10301-4303

Phone

(718) 816-0237

Fax

(718) 816-5465

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Kawsar IbrahimNPI 1881256816

Title

Podiatrist

Phone

(917) 409-6505

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kawsar Ibrahim, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1881256816
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1922704394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ABINGDON CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014303",
            "telephone_number": "718-816-0237",
            "fax_number": "718-816-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 4th Ave Apt A3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112092542",
            "country_code": "US",
            "telephone_number": "718-816-0237",
            "fax_number": "718-816-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATIONS PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "KAWSAR",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "917-409-6505"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria C Fossella, LMSW
• Barkel Thomas Foster
• Nina Fostik
• Vicky Fotiou
• Foundations Learning & Development LLC
• Fountain of Youth
• Fountain Pulmonary P.C
• Four Bridges Social Work Services LCSW PC
• Mary Fourte, MS CCC-SLP
• Andrea Fox, BS PHARM

• Foot Surgery Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.