COOPER PODIATRY PC
NPI 1386810349
Podiatrist in Brooklyn, NY

Active since April 30, 2008
30 DEKALB AVE, 2ND FLOOR, BROOKLYN, NY 11201(718) 744-7209(718) 488-1919 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cooper Podiatry Pc NPPES

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

COOPER PODIATRY PC (NPI 1386810349) is a healthcare organization registered as a podiatrist in Brooklyn, New York and active in the NPI registry since April 2008. The organization lists Scott L Cooper, President, as its authorized official.

NPPES Registry Identity

NPI1386810349
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameCOOPER PODIATRY PC
Location Address30 DEKALB AVE, 2ND FLOORBrooklyn, NY 11201-5314
Mailing Address2346 E 29th StBrooklyn, NY 11229-5028 · (718) 744-7209 · Fax (718) 488-1919
Fax(718) 488-1919
Organization SubpartNo
Authorized OfficialScott L CooperPresident · (718) 744-7209
Enumeration DateApril 30, 2008
Last NPPES UpdateJanuary 23, 2017
✔ NPI 1386810349 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 · N006205-1
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.
30 DEKALB AVE, Brooklyn, NY 11201

Other Identifiers 2

Medicare NSC6225340001NY
Medicare PINWP4P71NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20100930070553DME · Multi-Specialty - PhysicianDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Podiatry
NPI 1588692974
30 DEKALB AVE 2ND FLOOR
Brooklyn, NY 11201
(718) 744-7209
✔ 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 Cooper Podiatry PC's NPI number?

The NPI number for Cooper Podiatry PC is 1386810349. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Cooper Podiatry PC located?

Cooper Podiatry PC is located at 30 Dekalb Ave 2nd Floor, Brooklyn, NY 11201. The listed phone number is (718) 744-7209.

What is Cooper Podiatry PC's specialty?

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

Is Cooper Podiatry PC enrolled in Medicare?

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

When is Cooper Podiatry PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Multi-Specialty - Physician) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cooper Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Cooper 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 Cooper Podiatry PC was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.