OCEAN AVENUE PODIATRY PC
NPI 1629111646
Podiatrist - Foot Surgery in Brooklyn, NY

Active since February 15, 2007
2962 OCEAN AVE, UNIT 1, BROOKLYN, NY 11235(718) 332-3003(718) 332-3113 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ocean Avenue Podiatry Pc NPPES

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

OCEAN AVENUE PODIATRY PC (NPI 1629111646) is a healthcare organization registered as a foot surgery in Brooklyn, New York and active in the NPI registry since February 2007. The organization lists Merabi Zonenashvili, President, as its authorized official.

NPPES Registry Identity

NPI1629111646
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameOCEAN AVENUE PODIATRY PC
Location Address2962 OCEAN AVE, UNIT 1Brooklyn, NY 11235-3202
Mailing Address2962 Ocean Ave, Unit 1Brooklyn, NY 11235-3202 · (718) 332-3003 · Fax (718) 332-3113
Fax(718) 332-3113
Organization SubpartNo
Authorized OfficialMerabi ZonenashviliPresident · (718) 332-3003
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMay 15, 2008
✔ NPI 1629111646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NY · N005659
2962 OCEAN AVE, Brooklyn, NY 11235

Other Identifiers 3

Medicare PINPPWX41NY
Medicare UPINU79700NY
Medicaid02049329NY

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)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20070309000324Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
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 Ocean Avenue Podiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1659335537
970 BARD AVE
Staten Island, NY 10301
(718) 720-6866
✔ PECOS✔ Accepts Medicare8.7 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 Ocean Avenue Podiatry PC's NPI number?

The NPI number for Ocean Avenue Podiatry PC is 1629111646. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Ocean Avenue Podiatry PC located?

Ocean Avenue Podiatry PC is located at 2962 Ocean Ave Unit 1, Brooklyn, NY 11235. The listed phone number is (718) 332-3003.

What is Ocean Avenue Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Ocean Avenue Podiatry PC enrolled in Medicare?

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

When is Ocean Avenue Podiatry PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Ocean Avenue Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Ocean Avenue 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 Ocean Avenue Podiatry PC was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.