Provider Demographics
NPI:1174664577
Name:JOSHI, JIGNASA P (DPM)
Entity Type:Individual
Prefix:
First Name:JIGNASA
Middle Name:P
Last Name:JOSHI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 W 125TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4512
Mailing Address - Country:US
Mailing Address - Phone:212-369-7340
Mailing Address - Fax:212-369-1071
Practice Address - Street 1:33 W 125TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4512
Practice Address - Country:US
Practice Address - Phone:212-369-7340
Practice Address - Fax:212-369-1071
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004752213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01204168Medicaid
NY01204168Medicaid
NYU02450Medicare UPIN
NY5434340001Medicare NSC