PODIATRY DOCTOR PC (NPI# 1306338371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306338371 |
| Entity Type | Organization |
| Organization Name | PODIATRY DOCTOR PC |
| Practice Address |
16110 Jamaica Ave Jamaica NY 11432-6139 |
| Practice Telephone | 7186186528 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | EMMANUAL FUZAYLOV (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7186186528 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
574772 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | THE JOINT COMMISSION | 574772 | 01 |
| Street Address |
16110 JAMAICA AVE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-6139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033281639 | Emmanuel Fuzaylov | Podiatrist | 16110 Jamaica Ave, Jamaica, NY 11432 | 2006-11-15 |
| 1033744404 | Roman Mondal | Registered Nurse | 16110 Jamaica Ave, Jamaica, NY 11432-6139 | 2020-03-06 |
| 1861040537 | Shirley Belizaire | Social Worker | 16110 Jamaica Ave, Jamaica, NY 11432-6139 | 2019-08-27 |
| 1336606623 | Ideal Feet Podiatry, P.C. | Podiatrist | 16110 Jamaica Ave, Jamaica, NY 11432-6139 | 2019-02-22 |
| 1194228270 | Nia Tinsley | Registered Nurse | 16110 Jamaica Ave, Jamaica, NY 11432-6139 | 2018-03-14 |
| 1255848040 | Elizabeth De Leon | Social Worker | 16110 Jamaica Ave, Jamaica, NY 11432-6139 | 2018-01-03 |
| 1811422405 | Megan S. Jones | Social Worker | 16110 Jamaica Ave, 2nd Floor, Jamaica, NY 11432-6139 | 2017-04-21 |
| 1619418456 | Destony Stewart | Social Worker | 16110 Jamaica Ave, Jamaica, NY 11432-6139 | 2017-03-13 |
| 1093255689 | Advanced Medical Concepts PC | Durable Medical Equipment & Medical Supplies | 16110 Jamaica Ave, Suite 301, Jamaica, NY 11432-6139 | 2017-03-01 |
| 1528506490 | Omar Clarke | Social Worker | 16110 Jamaica Ave, 2nd Floor, Jamaica, NY 11432-6139 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600701 | Cmsc, LLC | Clinic/Center | 9212 165th St, Jamaica, NY 11433-1104 | 2018-12-10 |
| 1548343817 | Hillside Diagnostic and Treatment Center, LLC | Clinic/Center | 18811 Hillside Ave, Jamaica, NY 11423-1935 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
| 1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
| 1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
| 1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.