Organization Active NPI

Designer Comfort Shoes Center Inc.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1982785077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PENDING Issued in NY
Legal business name
DESIGNER COMFORT SHOES CENTER INC.
Practice address
1669 Pitkin Avenue
Brooklyn, NY 11212
Phone
(718) 498-3501
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Larisa Simkhaev, PA
Title
Pedorthist
Phone
(917) 704-9264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PENDING NY Primary

Addresses

Primary practice location

1669 Pitkin Avenue
Brooklyn, NY 11212

Mailing address

1669 Pitkin Avenue
Brooklyn, NY 11212
Phone (718) 498-3501

National Provider Directory

National Provider Directory

Locations

1669 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 498-3501

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982785077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 PITKIN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-498-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 PITKIN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-498-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNER COMFORT SHOES CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMKHAEV",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "PEDORTHIST",
        "authorized_official_telephone_number": "917-704-9264",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "PENDING",
            "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 Aug 22, 2020; 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.