Eastern Podiatry PLLC
NPI 1104692219 · Podiatrist · Lynnwood, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastern Podiatry PLLC is a Podiatrist organization in Lynnwood, WA (NPI 1104692219).
Provider details
- NPI number
- 1104692219
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Alan Tajerstein, Owner(718) 972-5000
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Frequently asked questions
- What is Eastern Podiatry PLLC's NPI number?
- Eastern Podiatry PLLC's National Provider Identifier (NPI) is 1104692219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastern Podiatry PLLC?
- Eastern Podiatry PLLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Eastern Podiatry PLLC located?
- Eastern Podiatry PLLC's practice location on file with NPPES is 3701 188th St Sw, Lynnwood, WA 98037-7626.
- What is Eastern Podiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Eastern Podiatry PLLC is (718) 972-5000.
- Does Eastern Podiatry PLLC accept Medicare?
- Eastern Podiatry PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eastern Podiatry PLLC?
- The authorized official listed on Eastern Podiatry PLLC's NPPES record is Alan Tajerstein, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastern Podiatry PLLC's NPI active?
- Yes — Eastern Podiatry PLLC's NPI (1104692219) is active in the NPPES registry as of the last update on 2023-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.