EASTERN PODIATRY PLLC
NPI 1104692219
Podiatrist in Lynnwood, WA
About Eastern Podiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTERN PODIATRY PLLC (NPI 1104692219) is a healthcare organization registered as a podiatrist in Lynnwood, Washington and active in the NPI registry since November 2023. The organization lists Alan R Tajerstein, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastern Podiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Eastern Podiatry PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eastern Podiatry PLLC's NPI number?
The NPI number for Eastern Podiatry PLLC is 1104692219. It was assigned to this organization in the NPPES registry on November 29, 2023.
Where is Eastern Podiatry PLLC located?
Eastern Podiatry PLLC is located at 3701 188th St SW, Lynnwood, WA 98037. The listed phone number is (718) 972-5000.
What is Eastern Podiatry PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Eastern Podiatry PLLC enrolled in Medicare?
Yes. Eastern Podiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastern Podiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Eastern Podiatry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Eastern Podiatry PLLC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eastern Podiatry Pllc · NPI 1104692219
Podiatrist organization in Lynnwood, Washington. Organization record, active in the CMS NPPES registry since November 29, 2023.
## Identity
- **NPI:** 1104692219 (Entity type: Organization)
- **Enumerated:** November 29, 2023
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Alan Tajerstein, OWNER
## Practice location
- **Address:** 3701 188TH ST SW, Lynnwood, WA 98037-7626
- **Phone:** (718) 972-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104692219) · Data from the CMS NPPES public registry.