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EASTERN PODIATRY PLLC
NPI 1215487277
Podiatrist in Superior, WI

Active since October 13, 2016
1800 NEW YORK AVE, SUPERIOR, WI 54880(718) 972-5000(718) 972-3774 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastern Podiatry Pllc NPPES

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

EASTERN PODIATRY PLLC (NPI 1215487277) is a healthcare organization registered as a podiatrist in Superior, Wisconsin and active in the NPI registry since October 2016. The organization lists Alan Tajerstein, Owner, as its authorized official.

NPPES Registry Identity

NPI1215487277
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEASTERN PODIATRY PLLC
Location Address1800 NEW YORK AVESuperior, WI 54880-2008
Mailing Address2802 Avenue PBrooklyn, NY 11229-1810 · (718) 972-5000 · Fax (718) 972-3774
Phone(718) 972-5000
Fax(718) 972-3774
Organization SubpartNo
Authorized OfficialAlan TajersteinOwner · (718) 972-5000
Enumeration DateOctober 13, 2016
✔ NPI 1215487277 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.
1800 NEW YORK AVE, Superior, WI 54880
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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

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY LULICH
Physical Therapy Assistant
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
SUPERIOR WI MANAGEMENT, LLC
Skilled Nursing Facility
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
DR. BOBBI MARIE-ANN HUOTARI DPT
Physical Therapist
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
INTEGRATED WOUND CARE MANAGEMENT WISCONSIN LLC
General Practice
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (201) 870-1194
MRS. CHRISTINA MARIE LEUZZO OTR/L
Occupational Therapist
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
SUSAN NOWAK PTA
Physical Therapy Assistant
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
DEBRA HEDIN COTA
Occupational Therapy Assistant
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591
SANDRA TOLLERS PTA
Physical Therapy Assistant
1800 NEW YORK AVE
SUPERIOR, WI 54880
Douglas County (715) 394-5591

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 1215487277. It was assigned to this organization in the NPPES registry on October 13, 2016.

Where is Eastern Podiatry PLLC located?

Eastern Podiatry PLLC is located at 1800 New York Ave, Superior, WI 54880. 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.

When was this NPI record last updated?

The NPPES record for Eastern Podiatry PLLC was last updated on October 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.