NPIMap

Organization Active NPI

Starrett Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1952553372
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005753 Issued in NY
Legal business name
STARRETT PODIATRY, LLC
Practice address
1990A Lexington Ave
New York, NY 10035-2911
Phone
(212) 534-5009
Fax
(212) 534-4707
NPI assigned
Oct 16, 2008
Last updated
Dec 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Dr. Brian Keith Levy, DPMNPI 1912083148
Title
Owner
Phone
(212) 534-5009

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N005753 NY Primary

Addresses

Primary practice location

1990A Lexington Ave
New York, NY 10035-2911

Mailing address

1990A Lexington Ave
New York, NY 10035-2911
Phone (212) 534-5009

Other identifiers 1

IdentifierTypeStateIssuer
02277838MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120829000236 NY Part B Supplier - Clinic/Group Practice 7012164932 Receives reassigned benefits from 10 practitioners
Practice locations: New York, NY
O20141001001879 NY DME Supplier - Physician - General Practice 7012164932 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Starrett Podiatry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12073 Flatlands Ave
Brooklyn, NY 11207
Phone (718) 257-7700

1990A Lexington Ave
New York, NY 10035
Phone (212) 534-5009

Practitioners & affiliated clinicians

Practitioners 10

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1952553372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990A LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352911",
            "telephone_number": "212-534-5009",
            "fax_number": "212-534-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990A LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352911",
            "telephone_number": "212-534-5009",
            "fax_number": "212-534-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARRETT PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-534-5009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02277838",
            "state": "NY"
        }
    ],
    "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 15, 2014; 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.