KEYSTONE PODIATRY (NPI# 1649418567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649418567 |
| Entity Type | Organization |
| Organization Name | KEYSTONE PODIATRY |
| Practice Address |
3040 E Tremont Ave Rm 101 Bronx NY 10461-5733 |
| Practice Telephone | 7189319058 |
| Practice Fax Number | 7189180004 |
| Mailing Telephone | 7189319058 |
| Mailing Fax Number | 7189180004 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |
| Authorized Official Name | MS. LISSETTE CARTAGENA (SECRETARY) |
| Authorized Official Telephone | 7189319058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
003843-1 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3040 E TREMONT AVE RM 101 |
| City | BRONX |
| State | NY |
| Zip Code | 10461-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699983650 | Stephanie Barbara Phillips | Podiatrist | 140 Einstein Loop, Suite 13d, Bronx, NY 10475-4903 | 2007-05-21 |
| 1487781589 | Jerome B Leff | Podiatrist | 2665 Netherland Ave, Bronx, NY 10463-4808 | 2007-02-27 |
| 1013063080 | Pelham Podiatry Group PC | Podiatrist | 1015 Morris Park Avenue, Bronx, NY 10462 | 2007-01-25 |
| 1922173350 | Michael Merenstein | Podiatrist | 3636 Fieldston Rd, Suite 1j, Bronx, NY 10463-2034 | 2006-11-21 |
| 1588631816 | Enid Goris | Podiatrist | 1827 Edison Ave, Bronx, NY 10461-4101 | 2006-03-06 |
| 1336115518 | Marvin Eevan Jennings | Podiatrist | 3307 Hunter Ave, Apt 1, Bronx, NY 10475-1543 | 2006-02-27 |
| 1558335141 | Deardre L Nadel | Podiatrist | 2550 Webb Ave, Apt 1h, Bronx, NY 10468-3930 | 2006-02-13 |
| 1316481120 | The Podiatric Surgeon, P.C. | Podiatrist | 4240 Hutchinson River Pkwy E, Bronx, NY 10475-4746 | 2016-12-13 |
| 1881061661 | Joann Bilello | Podiatrist | 820 Lydig Ave, Bronx, NY 10462-2106 | 2015-08-27 |
| 1891123410 | Tri-boro Podiatry Pllc | Podiatrist | 953 Southern Blvd, Lobby, Bronx, NY 10459-3428 | 2013-10-16 |
| Find all providers in BRONX | ||||
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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.