Active NPI
Daniel Podd, RPA-C
- Medical Physician Assistant
- Brooklyn, NY
National Provider Identifier
1952469124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10924
- Practice address
- 6010 Bay Pkwy
Suite 901
Brooklyn, NY 11204-6079 - Phone
- (718) 238-2100
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10924 | NY | Primary |
Addresses
Primary practice location
6010 Bay Pkwy
Suite 901
Brooklyn, NY 11204-6079
Mailing address
6010 Bay Pkwy
Suite 901
Brooklyn, NY 11204-6079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010924 | NY | MD | Mental Health Counselor |
| 10924 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Medical House Calls PLLC | Current | Accepting new patients | |
| Opty Medical, P.C. | Past | Accepting new patients |
Locations
11301 W Olympic Blvd
Ste 121
Los Angeles, CA 90064
6010 Bay Pkwy
Ste 903
Brooklyn, NY 11204
Phone (646) 699-1322
3636 33rd St
Ste 306
Long Island City, NY 11106
Phone (718) 238-2100
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.
-
- General Practice Physician
- Brooklyn, NY
- NPI 1427507771
-
- Sports Medicine (Family Medicine) Physician
- Glendale, NY
- NPI 1023187044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1952469124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 BAY PKWY",
"address_2": "SUITE 901",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112046079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 BAY PKWY",
"address_2": "SUITE 901",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112046079",
"telephone_number": "718-238-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODD",
"first_name": "DANIEL",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "10924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.