DR. TANYA OLAIYA JACKSON-SOUFIANE DPM
NPI 1699899849
Podiatrist - Foot & Ankle Surgery in Brooklyn, NY
About Dr. Tanya Olaiya Jackson-soufiane Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TANYA OLAIYA JACKSON-SOUFIANE DPM (NPI 1699899849) is an individual foot & ankle surgery provider in Brooklyn, New York, licensed in New York (005202) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tanya Olaiya Jackson-soufiane Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11203
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 Tanya Jackson-soufiane's NPI number?
The NPI number for Tanya Jackson-soufiane is 1699899849. It was assigned to this individual provider in the NPPES registry on March 16, 2007.
Where is Tanya Jackson-soufiane located?
Tanya Jackson-soufiane practices at 451 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-3465.
What is Tanya Jackson-soufiane's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Tanya Jackson-soufiane enrolled in Medicare?
Yes. Tanya Jackson-soufiane is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tanya Jackson-soufiane was last updated on May 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Tanya Olaiya Jackson-Soufiane, DPM · NPI 1699899849
Foot & Ankle Surgery provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 16, 2007.
## Identity
- **NPI:** 1699899849 (Entity type: Individual)
- **Enumerated:** March 16, 2007
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 005202 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 451 CLARKSON AVE, Brooklyn, NY 11203-2054
- **Phone:** (718) 245-3465
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** May 19, 2012
- **Other identifiers:** Medicare UPIN U63482 (NY); Medicare PIN 492082 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1699899849) · Data from the CMS NPPES public registry.