Erb Podiatry, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005731 Issued in NY

Legal business name

ERB PODIATRY, P.C.

Practice address

9876 Queens Blvd
Suite 1C
Rego Park, NY 11374-4398

Phone

(718) 830-3239

Fax

(718) 830-3839

NPI assigned

Apr 10, 2015

Last updated

Oct 3, 2016By 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

Elina BoverNPI 1356387922

Title

DPM

Phone

(718) 830-3239

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Practitioners 1

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.

• Elina Bover, DPM

  • Podiatrist
  • Rego Park, NY
  • NPI 1356387922
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1932595519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 JERICHO TPKE",
            "address_2": "#355",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404710",
            "telephone_number": "719-830-3239",
            "fax_number": "718-830-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9876 QUEENS BLVD",
            "address_2": "SUITE 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744398",
            "telephone_number": "718-830-3239",
            "fax_number": "718-830-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERB PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "BOVER",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "718-830-3239"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.