THE FOOT SPECIALTY PRACTICE, P.C. (NPI# 1174772446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174772446 |
| Entity Type | Organization |
| Organization Name | THE FOOT SPECIALTY PRACTICE, P.C. |
| Other Organization Name | DR. CARL M. JEAN, DPM, P.C. |
| Practice Address |
903 Utica Ave 2nd Floor Brooklyn NY 11203-4313 |
| Practice Telephone | 7184935986 |
| Practice Fax Number | 6468434712 |
| Mailing Telephone | 7184935986 |
| Mailing Fax Number | 6468434712 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | DR. CARL MYREL JEAN (PODIATRIST) |
| Authorized Official Telephone | 7185222770 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N006209 | NY | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Dr. Carl M. Jean, DPM, P.C. | Doing Business As Name - Organization |
| Street Address |
903 UTICA AVE 2ND FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566108 | Vu Nguyen Corp | Podiatrist | 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 | 2020-10-23 |
| 1255930079 | Atlantic Podiatry Pllc | Podiatrist | 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 | 2020-10-22 |
| 1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
| 1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
| 1497239792 | Junior Recardo King | Podiatrist | 596 Pennsylvania Ave, Brooklyn, NY 11207-6308 | 2018-09-21 |
| 1104350776 | Asher Wiederkehr | Podiatrist | 3714 Avenue P, Brooklyn, NY 11234-3426 | 2017-04-20 |
| 1215394051 | Blue Stone Podiatry Pllc | Podiatrist | 2546 E 13th St Apt B3, Brooklyn, NY 11235-4306 | 2016-01-25 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1760866651 | Jose Loor Dpm PC | Podiatrist | 125 Ashland Pl Apt 5d, Brooklyn, NY 11201-3926 | 2015-07-10 |
| 1033590112 | Valeriya Anbinder | Podiatrist | Coney Island Hospital, 2601 Ocean Parkway, Brooklyn, NY 11598 | 2015-06-15 |
| Find all providers in BROOKLYN | ||||
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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.