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MODERN PODIATRY PC
NPI 1861775496
Podiatrist in Brooklyn, NY

Active since September 20, 2011
1075 OCEAN PKWY, MEDICAL OFFICE, BROOKLYN, NY 11230(917) 751-8586 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Modern Podiatry Pc NPPES

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

MODERN PODIATRY PC (NPI 1861775496) is a healthcare organization registered as a podiatrist in Brooklyn, New York and active in the NPI registry since September 2011. The organization lists Inna Verzub, Owner, as its authorized official.

NPPES Registry Identity

NPI1861775496
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMODERN PODIATRY PC
Location Address1075 OCEAN PKWY, MEDICAL OFFICEBrooklyn, NY 11230-4056
Mailing Address1075 Ocean Pkwy, Medical OfficeBrooklyn, NY 11230-4056
Phone(917) 751-8586
Organization SubpartNo
Authorized OfficialInna VerzubOwner · (917) 751-8586
Enumeration DateSeptember 20, 2011
✔ NPI 1861775496 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 · N006148
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.
1075 OCEAN PKWY, Brooklyn, NY 11230
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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

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)

Modern 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 IDO20140606000424DME · Physician - PodiatryDue 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 Modern Podiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Inna Verzub
Podiatry
NPI 1952354490
1075 OCEAN PKWY
Brooklyn, NY 11230
(718) 676-0199
✔ 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 Modern Podiatry PC's NPI number?

The NPI number for Modern Podiatry PC is 1861775496. It was assigned to this organization in the NPPES registry on September 20, 2011.

Where is Modern Podiatry PC located?

Modern Podiatry PC is located at 1075 Ocean Pkwy Medical Office, Brooklyn, NY 11230. The listed phone number is (917) 751-8586.

What is Modern Podiatry PC's specialty?

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

Is Modern Podiatry PC enrolled in Medicare?

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

When is Modern 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, Physician - Podiatry) 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 Modern Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Modern 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 Modern Podiatry PC was last updated on September 20, 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.