Individual provider Active NPI

Polina Zaydenberg, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Staten Island, NY
National Provider Identifier
1942358528
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006133 Issued in NY
Practice address
119 Belair Rd
Staten Island, NY 10305-3005
Phone
(718) 981-4632
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006133 NY Primary

Addresses

Primary practice location

119 Belair Rd
Staten Island, NY 10305-3005

Mailing address

119 Belair Rd
Staten Island, NY 10305-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070313000585 NY Practitioner - Podiatry 4284737131 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mihail Medvedovsky Physician PCGroup PAC ID 3779474937, 12 clinicians
Aristahealth Medical Care PCGroup PAC ID 3375708068, 11 clinicians

Practice addresses (Care Compare)

1659 78TH St
Brooklyn, NY 11214-1011
Phone (718) 234-1212

3039 Ocean Pkwy
Brooklyn, NY 11235-8378
Phone (718) 946-9070

452 Fort Washington Ave
1St Floor
New York, NY 10033-4600
Phone (866) 996-1616

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006133NYMDMental Health Counselor
N006133NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Medical PC CurrentSince Jun 1, 2007 Accepting new patients
Aristahealth Medical Care PC CurrentSince Nov 1, 2022 Accepting new patients
Mihail Medvedovsky Physician PC CurrentSince Jun 1, 2007 Accepting new patients
American Foot Care PC Foot & Ankle Surgery Past Accepting new patients
Comprehensive Rehabilitation Medicine P.C. Past Accepting new patients
Yakov Levy MD PC Past Accepting new patients
Richmond Medical Health Care P.C. Past Accepting new patients
Wayne Axman Past Accepting new patients
Yevgeniy Bogorad MD PC Past Accepting new patients

Locations

3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070

133 E 58th St
Ste 1002
New York, NY 10022
Phone (212) 355-9400

4405 Broadway
New York, NY 10040
Phone (212) 740-2020

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942358528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BELAIR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BELAIR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053005",
            "telephone_number": "718-981-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYDENBERG",
        "first_name": "POLINA",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.