Provider Demographics
NPI:1518127505
Name:NADJA NEDJIE INC.
Entity Type:Organization
Organization Name:NADJA NEDJIE INC.
Other - Org Name:GEMINI FOOTCARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NADJA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-693-4060
Mailing Address - Street 1:3400 SNYDER AVE
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-3961
Mailing Address - Country:US
Mailing Address - Phone:718-693-4060
Mailing Address - Fax:718-693-4027
Practice Address - Street 1:3400 SNYDER AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-3961
Practice Address - Country:US
Practice Address - Phone:718-693-4060
Practice Address - Fax:718-693-4027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005623213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01995459Medicaid
NYPB3891Medicare PIN
NYU78790Medicare UPIN