1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Podiatrist
  6. NPI Profile

1795 CONEY ISLAND PODIATRY PC
NPI 1205133592
Podiatrist in Brooklyn, NY

Active since February 22, 2011
1795 CONEY ISLAND AVE, BROOKLYN, NY 11230(718) 645-6705(718) 645-6707 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About 1795 Coney Island Podiatry Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1795 CONEY ISLAND PODIATRY PC (NPI 1205133592) is a healthcare organization registered as a podiatrist in Brooklyn, New York and active in the NPI registry since February 2011. The organization lists Nechama V Muchnik, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1205133592
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business Name1795 CONEY ISLAND PODIATRY PC
Location Address1795 CONEY ISLAND AVEBrooklyn, NY 11230-6557
Mailing Address1795 Coney Island AveBrooklyn, NY 11230-6557 · (718) 645-6705 · Fax (718) 645-6707
Phone(718) 645-6705
Fax(718) 645-6707
Organization SubpartNo
Authorized OfficialNechama V MuchnikMedical Director · (718) 645-6705
Enumeration DateFebruary 22, 2011
Last NPPES UpdateFebruary 23, 2011
✔ NPI 1205133592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1795 CONEY ISLAND AVE, Brooklyn, NY 11230
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

1795 Coney Island Podiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 1795 Coney Island Podiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Victorya Nechama Muchnik, DPM
Podiatry
NPI 1407865454
1795 CONEY ISLAND AVE
Brooklyn, NY 11230
(718) 645-6705
✔ PECOS✔ Accepts MedicareSame address

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 1795 Coney Island Podiatry PC's NPI number?

The NPI number for 1795 Coney Island Podiatry PC is 1205133592. It was assigned to this organization in the NPPES registry on February 22, 2011.

Where is 1795 Coney Island Podiatry PC located?

1795 Coney Island Podiatry PC is located at 1795 Coney Island Ave, Brooklyn, NY 11230. The listed phone number is (718) 645-6705.

What is 1795 Coney Island Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is 1795 Coney Island Podiatry PC enrolled in Medicare?

Yes. 1795 Coney Island Podiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 1795 Coney Island Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to 1795 Coney Island Podiatry PC. 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 1795 Coney Island Podiatry PC was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.