FOUNDATIONS PODIATRY P.C.
NPI 1922704394
Podiatrist - Foot Surgery in Staten Island, NY

Active since February 06, 2023
1368 CLOVE RD, STATEN ISLAND, NY 10301(718) 816-0237(718) 816-5465 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2024, Feb 23, 2023, Feb 6, 2023 (3 updates tracked since 2023).

About Foundations Podiatry P.c. NPPES

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

FOUNDATIONS PODIATRY P.C. (NPI 1922704394) is a healthcare organization registered as a foot surgery in Staten Island, New York and active in the NPI registry since February 2023. The organization maintains a secondary practice location in Brooklyn and lists Kawsar Ibrahim, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1922704394
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameFOUNDATIONS PODIATRY P.C.
Location Address1368 CLOVE RDStaten Island, NY 10301-4303
Mailing Address35 Abingdon CtStaten Island, NY 10308-1345
Fax(718) 816-5465
Organization SubpartNo
Authorized OfficialKawsar IbrahimPodiatrist · (917) 409-6505
Enumeration DateFebruary 6, 2023
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1922704394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
1368 CLOVE RD, Staten Island, NY 10301

Secondary Practice Location 1

Location 17401 4th Ave Apt A3Brooklyn, NY 11209-2542 · Phone (718) 816-0237 · Fax (718) 816-5465

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)

Foundations Podiatry P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Foundations Podiatry P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1881256816
7401 4TH AVE APT A3
Brooklyn, NY 11209
(917) 302-8342
✔ PECOS✔ Accepts Medicare4.2 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 Foundations Podiatry P.C.'s NPI number?

The NPI number for Foundations Podiatry P.C. is 1922704394. It was assigned to this organization in the NPPES registry on February 6, 2023.

Where is Foundations Podiatry P.C. located?

Foundations Podiatry P.C. is located at 1368 Clove Rd, Staten Island, NY 10301. The listed phone number is (718) 816-0237.

What is Foundations Podiatry P.C.'s specialty?

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

Is Foundations Podiatry P.C. enrolled in Medicare?

Yes. Foundations Podiatry P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foundations Podiatry P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Foundations Podiatry P.C.. 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 Foundations Podiatry P.C. was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.