Individual provider Active NPI

Inna Verzub

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1952354490
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006148 Issued in NY
Practice address
1075 Ocean Pkwy
Brooklyn, NY 11230-4056
Phone
(718) 676-0199
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006148 NY Primary

Addresses

Primary practice location

1075 Ocean Pkwy
Brooklyn, NY 11230-4056

Mailing address

1075 Ocean Pkwy
Brooklyn, NY 11230-4056
Phone (718) 676-0199

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
I20060530000199 NY Practitioner - Podiatry 4789695081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1075 Ocean Pkwy
Brooklyn, NY 11230-4056
Phone (718) 676-0199

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
99.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions439
Removal of nail tissue1261
Removal or shaving of skin growth440
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006148NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Podiatry PC Podiatrist CurrentSince Oct 15, 2011 Accepting new patients
I & Z Medical Testing PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952354490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304056",
            "telephone_number": "718-676-0199",
            "fax_number": "718-676-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304056",
            "telephone_number": "718-676-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERZUB",
        "first_name": "INNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.