ILANA ITENBERG DPM NPI 1356336614

NPI Information

NPI: 1356336614
Provider Name: ILANA ITENBERG, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
17 PROSPECT ST
NASHUA, NH
ZIP 03060
Phone: (603) 577-3230
Get Directions

Ilana Itenberg, DPM is a foot surgery podiatrist in Nashua, NH with 24 years of experience. Ilana Itenberg, DPM NPI is 1356336614. 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:2000

The provider's business location address is:

17 PROSPECT ST
NASHUA, NH
ZIP 03060-956
Phone: (603) 577-3230
Fax: (603) 577-3234

The NPI 1356336614 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 9/13/2005 and was last updated on 12/17/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	N005742	NEW YORK	No
2	213ES0131X	Podiatrist	Foot Surgery	000800	CONNECTICUT	No
3	213ES0131X	Podiatrist	Foot Surgery	25MD00283300	NEW JERSEY	No
4	213ES0131X	Podiatrist	Foot Surgery	0317	NEW HAMPSHIRE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	161658P	OTHER	NEW YORK	HIP
2	U95779	MEDICARE UPIN
3	2701877	OTHER	NEW YORK	UNITED HEALTH CARE
4	PJ4082	OTHER	NEW YORK	BCBS
5	6298914	OTHER	NEW YORK	GHI
6	06	OTHER	NEW YORK	1199
7	02459745	MEDICAID	NEW YORK
8	9533745	OTHER	NEW YORK	CIGNA
9	P3060948	OTHER	NEW YORK	OXFORD

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: 4/28/2024

NPI Synchronization or Removal

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