Organization Active NPI

Sherry Shahrzad Nazarian D.P.M. P.C.

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1982836334
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005761 Issued in NY
Legal business name
SHERRY SHAHRZAD NAZARIAN D.P.M. P.C.
Practice address
2083 E 53Rd PL
Brooklyn, NY 11234-4710
Phone
(718) 258-2500
Fax
(718) 865-5112
NPI assigned
Aug 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Shahrzad Sherry Nazarian, D.P.M.NPI 1760522791
Title
Doctor
Phone
(718) 207-8256

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 Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N005761 NY Primary

Addresses

Primary practice location

2083 E 53Rd PL
Brooklyn, NY 11234-4710

Mailing address

2266 E 64TH St
Brooklyn, NY 11234-6314
Phone (718) 444-8151

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100811000040 NY Part B Supplier - Clinic/Group Practice 8123152303 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20110722000098 NY DME Supplier - Physician - Podiatry 8123152303 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1496 Saint Johns Pl
Brooklyn, NY 11213
Phone (718) 552-2021

3303 Avenue N
Brooklyn, NY 11234
Phone (718) 444-8151

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1982836334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 E 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346314",
            "telephone_number": "718-444-8151",
            "fax_number": "718-363-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 E 53RD PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344710",
            "telephone_number": "718-258-2500",
            "fax_number": "718-865-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY SHAHRZAD NAZARIAN D.P.M. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "NAZARIAN",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_middle_name": "SHERRY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-207-8256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005761",
            "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 Mar 28, 2012; 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.