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SERGINE DESROSIERS DPM NPI 1093709610


NPI Information

NPI: 1093709610
Provider Name: SERGINE DESROSIERS, DPM
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Individual

Specialization: Foot and Ankle Surgery

Organization: COMMUNITY FOOT AND ANKLE CENTER LLC

PECOS Registration: Yes

Address:
613 THROOP AVE
BROOKLYN, NY
ZIP 11216
Phone: (718) 602-6200
Get Directions

Sergine Desrosiers, DPM is a foot and ankle surgery orthopaedic surgery in Brooklyn, NY with 25 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. Sergine Desrosiers, DPM NPI is 1093709610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1999

The provider's business location address is:

613 THROOP AVE
BROOKLYN, NY
ZIP 11216-522
Phone: (718) 602-6200

The NPI 1093709610 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/9/2005 and was last updated on 9/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric MedicineMD002675NEW JERSEYNo
2213EP1101XPodiatristPrimary Podiatric MedicineSC005652PENNSYLVANIANo
3207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryN005664-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U87732MEDICARE UPINNEW YORK
2052699MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
3PJ1221MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
41964230004MEDICAIDPENNSYLVANIA
5072797MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
68696900MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.