TRI-BORO PODIATRY PLLC (NPI# 1891123410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891123410 |
| Entity Type | Organization |
| Organization Name | TRI-BORO PODIATRY PLLC |
| Practice Address |
953 Southern Blvd Lobby Bronx NY 10459-3428 |
| Mailing Address |
1241 E 8th St Brooklyn NY 11230-5105 |
| Practice Telephone | 3475902707 |
| Practice Fax Number | 3475902706 |
| Mailing Telephone | 7863518969 |
| Mailing Fax Number | 3475902706 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | DR. SIMEON ISAACS (MANAGER) |
| Authorized Official Telephone | 7863518969 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
65-002897 | NY | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730505157 | Tri-boro Podiatry Pllc | Podiatrist | 741 Flushing Ave, Lower Level, Brooklyn, NY 11206-4419 | 2014-03-10 |
| Street Address |
953 SOUTHERN BLVD LOBBY |
| City | BRONX |
| State | NY |
| Zip Code | 10459-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760684278 | Care Plus Medical Associates PC | Internal Medicine | 953 Southern Blvd, Suite 204, Bronx, NY 10459-3428 | 2007-06-05 |
| 1760962328 | Kimberley Marie Rubino | Physician Assistant | 953 Southern Blvd, Bronx, NY 10459-3428 | 2018-08-14 |
| 1255849949 | Avant-garde Psychiatric Consulting Pllc | Psychiatry & Neurology | 953 Southern Blvd, Lobby Suite, Bronx, NY 10459-3428 | 2018-01-16 |
| 1225484819 | Darleen Groudan | Social Worker | 953 Southern Blvd, Bronx, NY 10459 | 2016-05-12 |
| 1922454123 | Sherrifa Bailey | Social Worker | 953 Southern Blvd, Bronx, NY 10459-3428 | 2016-05-06 |
| 1164877643 | Mary Caritas Callahan | Social Worker | 953 Southern Blvd, Suite 301, Bronx, NY 10459-3428 | 2016-05-03 |
| 1811351307 | Odyssey House, Inc. | Community/Behavioral Health | 953 Southern Blvd, Suite 301, Bronx, NY 10459-3428 | 2016-04-11 |
| 1861857765 | Southern Eye Care Inc | Technician/Technologist | 953 Southern Blvd, Bronx, NY 10459-3428 | 2015-12-18 |
| 1992192793 | Alpha Communications of Li Inc | Prosthetic/Orthotic Supplier | 953 Southern Blvd, Suite 204, Bronx, NY 10459 | 2015-04-20 |
| 1346591278 | Source Cardiology | Internal Medicine | 953 Southern Blvd, Suite 202, Bronx, NY 10459-3428 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1710496633 | Vitus C. Ezerioha | Licensed Practical Nurse | 870 Southern Blvd., Apt 1a, Bronx, NY 10459 | 2017-09-22 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1669901070 | Ruthlyn Merrick | Registered Nurse | 1466 Louis Nine Blvd, Bronx, NY 10459 | 2017-06-08 |
| 1154865681 | John Wahl | Speech-Language Pathologist | 977 Fox St., Is 217, Bronx, NY 10459 | 2016-12-19 |
| 1801349675 | Aneesa Ible | Social Worker | 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 | 2016-07-28 |
| 1457711277 | Agboade Ademiju | Registered Nurse | 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 | 2016-03-07 |
| 1952760076 | Apollo Radio Dispatcher | Taxi | 801 Freeman Street, Bronx, NY 10459 | 2016-02-17 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1063892388 | Vismar Radio Dispatch Inc. | Taxi | 1040-52 Freeman St, Bronx, NY 10459 | 2015-06-02 |
| Find all providers in zip 10459 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649418567 | Keystone Podiatry | Podiatrist | 3040 E Tremont Ave Rm 101, Bronx, NY 10461-5733 | 2009-01-30 |
| 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 |
| 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.