Individual provider Active NPI

Neda C Khoobyar, D.P.M

  • Podiatrist
  • New York, NY
National Provider Identifier
1952355943
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005898 Issued in NY
Practice address
1125 Park Ave
New York, NY 10128-1243
Phone
(718) 604-5388
Fax
(718) 604-5527
NPI assigned
May 22, 2006
Last updated
Feb 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005898 NY Primary

Addresses

Primary practice location

1125 Park Ave
New York, NY 10128-1243

Mailing address

319 3Rd St Apt 2R
Brooklyn, NY 11215-2877
Phone (917) 868-9938

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
I20041101000971 NY Practitioner - Podiatry 8527020643 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 E 79TH St
Dewitt Nursing Home
New York, NY 10075-0819
Phone (212) 879-1600

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005898NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Klein&Khoobyar,DPM,P.C. Podiatrist Past Accepting new patients
Park Avenue Medical & Surgical Associates Past Accepting new patients
New York Integrative Rheumatology&Arthritis Care, PC PastSince Jan 1, 2012 Accepting new patients

Networks

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

Organizations & group practices 3

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1952355943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 3RD ST APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152877",
            "telephone_number": "917-868-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281243",
            "telephone_number": "718-604-5388",
            "fax_number": "718-604-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOOBYAR",
        "first_name": "NEDA",
        "middle_name": "C",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.