Merabi Zonenashvili, DPM
Podiatrist in Staten Island, NY
Registered providerLicense # listed (NY)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 970 Bard Ave, Staten Island, NY 10301
- Phone
- (718) 720-6866
- Listed under
- Individual podiatrists
- NPI
- 1659335537
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Podiatrist (213E00000X)
- Credentials listed
- DPM
- License number on NPI record
- N005659 (NY)
- NPI first issued
- Apr 17, 2006
- Years since NPI first issued
- 20 years (since 2006)
- License state on NPI record
- NY
- NPI record last updated
- May 14, 2008
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 1998 (28 years ago)
- Medicare group practice (CMS)
- Interborough Developmental and Consultation Center INC (169 clinicians); Sla Associates LLC (26 clinicians)
- Practice locations on file with Medicare (CMS)
- 3
- Other podiatry listings at this street address
- 3
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What these registry facts mean
Practices and podiatrists at this address
- Mina Baskhron, DPM
- Mina Beshai, DPM
- Beshai Podiatry PC (practice/organization)