NPIMap

Organization Active NPI

TD Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1942676283
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006701 Issued in NY
Legal business name
TD PODIATRY PC
Practice address
150 Delancey St
Suit a
New York, NY 10002-3308
Phone
(212) 598-4300
NPI assigned
Aug 20, 2015
Last updated
Dec 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Tamir Danilov, DPMNPI 1245594225
Title
President
Phone
(917) 589-0236

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
Foot & Ankle Surgery Podiatrist 213ES0103X N006701 NY Primary

Addresses

Primary practice location

150 Delancey St
Suit a
New York, NY 10002-3308

Mailing address

70 Little West St
Suit #24C
New York, NY 10004-7410
Phone (917) 598-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151015000581 NY Part B Supplier - Clinic/Group Practice 0749599629 Receives reassigned benefits from 10 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

26 W 14th St
New York, NY 10011
Phone (212) 598-4300

Practitioners & affiliated clinicians

Practitioners 11

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": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1942676283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LITTLE WEST ST",
            "address_2": "SUIT #24C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100047410",
            "telephone_number": "917-598-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DELANCEY ST",
            "address_2": "SUIT A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023308",
            "telephone_number": "212-598-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "DANILOV",
        "authorized_official_first_name": "TAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-589-0236",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006701",
            "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 Dec 20, 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.