JB PODIATRIC MEDICINE AND SURGERY PC (NPI# 1851518658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851518658 |
| Entity Type | Organization |
| Organization Name | JB PODIATRIC MEDICINE AND SURGERY PC |
| Practice Address |
1130 Brighton Beach Ave Apt 1cc Brooklyn NY 11235-5515 |
| Mailing Address |
117 Chester Ave Staten Island NY 10312-5710 |
| Practice Telephone | 7186482707 |
| Practice Fax Number | 3474622908 |
| Mailing Telephone | 9176994139 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | DR. JULIA BONDARENKO (PRESIDENT) |
| Authorized Official Telephone | 9176994139 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N006041 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02841734 | 05 |
| Street Address |
1130 BRIGHTON BEACH AVE APT 1CC |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467560276 | Julia Bondarenko | Podiatrist | 1130 Brighton Beach Ave Apt 1cc, Brooklyn, NY 11235-5515 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463466 | Sk Tutoring Center LLC | Speech-Language Pathologist | 3360 Shore Parkway, Suite C1, Brooklyn, NY 11235 | 2020-09-24 |
| 1841803665 | Svetlana Gaitchikova | Registered Nurse | 35 Seacrest Terrace, Brooklyn, NY 11235 | 2020-08-31 |
| 1427661198 | Kizzy Marie Salguero | Social Worker | 2625, East 14th Street Suite 200, Brooklyn, NY 11235 | 2020-08-24 |
| 1861015042 | Aspire Physical Therapy PC | Physical Therapist | 3000 Ocean Pkwy #2jtrump Village 1, Brooklyn, NY 11235 | 2020-05-22 |
| 1093337248 | Dhwani Patel | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Coney Island Hospi, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-05-11 |
| 1780203596 | Thomas George | Student in an Organized Health Care Education/Training Program | Nyc Health & Hospitals/coney Island, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-04-11 |
| 1326676537 | Olukayode Ahmed Busari | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway Brooklyn, New York, NY 11235 | 2020-04-01 |
| 1831759323 | Daniel Groisman | Case Manager/Care Coordinator | 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 | 2019-06-17 |
| 1013577998 | Aaron Rene Allick Douen | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 | 2019-06-13 |
| 1609431162 | Anna Pozdner | Speech-Language Pathologist | 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 | 2019-05-09 |
| Find all providers in zip 11235 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184135568 | Active Podiatry Pllc | Podiatrist | 149 Marine Ave Apt La, Brooklyn, NY 11209-7712 | 2017-10-12 |
| 1104277185 | Zhi Q Huang | Podiatrist | 2130 E 24th St, First Floor, Brooklyn, NY 11229-4902 | 2016-06-30 |
| 1629452164 | Sm Gulzar Hossain | Podiatrist | 850 Monroe Street. Apt 1, Brooklyn, NY 11221 | 2015-07-15 |
| 1386069706 | Jobin Abraham Danesh | Podiatrist | 1821 E 19th St, Brooklyn, NY 11229-3500 | 2014-02-21 |
| 1356789820 | Fejzo Cecunjanin | Podiatrist | 1245 50th St Apt 4k, Brooklyn, NY 11219-3562 | 2013-06-06 |
| 1659630580 | Charles M Edelstein | Podiatrist | 1424 50th St, Brooklyn, NY 11219 | 2012-05-12 |
| 1134419336 | Regina Joyce Haygood | Podiatrist | 2343 Batchelder St, Apt 5f, Brooklyn, NY 11229-5377 | 2011-04-10 |
| 1982836334 | Sherry Shahrzad Nazarian D.p.m. P.C. | Podiatrist | 2083 E 53rd Pl, Brooklyn, NY 11234-4710 | 2009-08-19 |
| 1376771170 | Irina Pechalidi | Podiatrist | 576 Avenue Z Apt 3d, Brooklyn, NY 11223-6150 | 2009-06-30 |
| 1962648204 | Dr Lawrence & Ira Cohen | Podiatrist | 1542 Remsen Ave, Brooklyn, NY 11236-5251 | 2008-12-16 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on JB PODIATRIC MEDICINE AND SURGERY PC.
| 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.