LINDA PODIATRY PC
NPI 1356623771
Podiatrist in New York, NY

Active since September 12, 2011
700 W 192ND ST, APT# 606, NEW YORK, NY 10040(917) 399-0361 Get Directions Write a Review

NPPES record last updated: September 12, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Linda Podiatry Pc NPPES

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

LINDA PODIATRY PC (NPI 1356623771) is a healthcare organization registered as a podiatrist in New York, New York and active in the NPI registry since September 2011. The organization lists Eka Davitachvili, Incorporator/director/dpm, as its authorized official.

NPPES Registry Identity

NPI1356623771
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameLINDA PODIATRY PC
Location Address700 W 192ND ST, APT# 606New York, NY 10040-2402
Mailing Address700 W 192 Street, Apt# 606New York, NY 10040 · (917) 399-0361
Organization SubpartNo
Authorized OfficialEka DavitachviliIncorporator/director/dpm · (917) 399-0361
Enumeration DateSeptember 12, 2011
✔ NPI 1356623771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · N006252
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.
700 W 192ND ST, New York, NY 10040

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)

Linda 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 Linda Podiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1376797894
1705 E 17TH ST LOWR LEVEL
Brooklyn, NY 11229
(917) 399-0361
✔ PECOS✔ Accepts Medicare17 mi

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 Linda Podiatry PC's NPI number?

The NPI number for Linda Podiatry PC is 1356623771. It was assigned to this organization in the NPPES registry on September 12, 2011.

Where is Linda Podiatry PC located?

Linda Podiatry PC is located at 700 W 192nd St Apt# 606, New York, NY 10040. The listed phone number is (917) 399-0361.

What is Linda Podiatry PC's specialty?

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

Is Linda Podiatry PC enrolled in Medicare?

Yes. Linda Podiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Linda Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Linda 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 Linda Podiatry PC was last updated on September 12, 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.