5 BORO PODIATRY PC
NPI 1912596271
Podiatrist - Foot & Ankle Surgery in Staten Island, NY

Active since January 12, 2021
531 TARGEE ST, STATEN ISLAND, NY 10304(646) 837-5448(718) 775-3150 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About 5 Boro Podiatry Pc NPPES

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

5 BORO PODIATRY PC (NPI 1912596271) is a healthcare organization registered as a foot & ankle surgery in Staten Island, New York and active in the NPI registry since January 2021. The organization lists Sadia Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1912596271
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business Name5 BORO PODIATRY PC
Location Address531 TARGEE STStaten Island, NY 10304-3501
Mailing Address1578 Williamsbridge Rd Apt 3aBronx, NY 10461-6268
Fax(718) 775-3150
Organization SubpartNo
Authorized OfficialSadia ShahOwner · (917) 613-1629
Enumeration DateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
✔ NPI 1912596271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
531 TARGEE ST, Staten Island, NY 10304

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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to 5 Boro Podiatry PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Podiatry
NPI 1225534464
3713 85TH ST
Jackson Heights, NY 11372
(347) 507-0280
✔ PECOS✔ Accepts Medicare14 mi
Podiatry
NPI 1164879037
3626 E TREMONT AVE STE 102
Bronx, NY 10465
(718) 409-0400
✔ PECOS✔ Accepts Medicare20 mi
Podiatry
NPI 1750518130
1578 WILLIAMSBRIDGE RD APT 3A
Bronx, NY 10461
(347) 281-9747
✔ PECOS✔ Accepts Medicare20 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 5 Boro Podiatry PC's NPI number?

The NPI number for 5 Boro Podiatry PC is 1912596271. It was assigned to this organization in the NPPES registry on January 12, 2021.

Where is 5 Boro Podiatry PC located?

5 Boro Podiatry PC is located at 531 Targee St, Staten Island, NY 10304. The listed phone number is (646) 837-5448.

What is 5 Boro Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is 5 Boro Podiatry PC enrolled in Medicare?

Yes. 5 Boro Podiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 5 Boro Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to 5 Boro 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 5 Boro Podiatry PC was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.