Provider Demographics
NPI:1144483769
Name:ESPIRITUSANTO, YOKAIRA A (DPM)
Entity type:Individual
Prefix:DR
First Name:YOKAIRA
Middle Name:A
Last Name:ESPIRITUSANTO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4511
Mailing Address - Country:US
Mailing Address - Phone:917-592-0651
Mailing Address - Fax:
Practice Address - Street 1:916 MAIN AVE STE 2A
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-8545
Practice Address - Country:US
Practice Address - Phone:973-495-3338
Practice Address - Fax:973-246-5765
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006311-1213ES0103X, 213E00000X
NJ25MD00306600213ES0103X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG30011504OtherMEDICARE PTAN NYC
NJ223731YE4XOtherMEDICARE PTAN NJ
NJA30022649OtherMEDICARE PTAN QUEENS