Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 213E00000X | Podiatrist | | 65 017501 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
1 | 0488940001 | MEDICARE OSCAR/CERTIFICATION | | |
2 | 30061 | OTHER | | TAX ID LAST 5 DIGITS |
3 | 1538163290 | OTHER | | NPI CHRISTOPHER KENT BROMLEY DPM |
4 | 0488940001 | MEDICARE NSC | | |
5 | PAWE21 | MEDICARE PIN | | |
6 | 1396784849 | OTHER | | NPI: FLORENCE GABRIELLE SUMMERS DPM |
7 | RAIL ROAD ME GRP ID | OTHER | | CJ2100 |
8 | 1194764639 | OTHER | | NPI LEONARD STUART GERBER DPM |
9 | 480003167 | MEDICARE PIN | | |
10 | 1538163290 | OTHER | | NPI: AUDRA ROCHELLE SIEGEL DPM |
11 | 1528073822 | OTHER | NEW YORK | NPI: DANY YOSEF JABBOUR DPM |