Organization Active NPI

Podcare

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1972745198
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODCARE
Practice address
2802 Avenue P
Brooklyn, NY 11229-1810
Phone
(718) 252-5590
Fax
(718) 972-3774
NPI assigned
Apr 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Dr. Alan Tajerstein, D.P.M.
Title
President
Phone
(718) 972-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2802 Avenue P
Brooklyn, NY 11229-1810

Mailing address

1335 54TH St
Brooklyn, NY 11219-4220
Phone (718) 972-5000

Other identifiers 2

IdentifierTypeStateIssuer
P5059-1OtherNYMEDICARE PROVIDER ID #
01151000MedicaidNY

National Provider Directory

National Provider Directory

Locations

1335 54th St
Brooklyn, NY 11219

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1972745198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 54TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194220",
            "telephone_number": "718-972-5000",
            "fax_number": "718-972-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291810",
            "telephone_number": "718-252-5590",
            "fax_number": "718-972-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "TAJERSTEIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-972-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID #",
            "identifier": "P5059-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01151000",
            "state": "NY"
        }
    ],
    "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 Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.