NPIMap

Organization Active NPI

Lewis J Sims DPM P.C.

  • Podiatrist
  • Poughkeepsie, NY
National Provider Identifier
1043795396
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
LEWIS J SIMS DPM P.C.
Practice address
5 Eastdale Ave S
Poughkeepsie, NY 12603-1955
Phone
(845) 471-2243
Fax
(845) 471-2883
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Ann Berberich
Title
Office Manager
Phone
(845) 471-2243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

5 Eastdale Ave S
Poughkeepsie, NY 12603-1955

Mailing address

5 Eastdale Ave S
Poughkeepsie, NY 12603-1955
Phone (845) 471-2243

Other practice location 1

969 Main St
Fishkill, NY 12524-1789
Phone (845) 897-2735

Other practice location 2

60 Park Ln
Highland, NY 12528-7810
Phone (845) 471-2243

Other identifiers 8

IdentifierTypeStateIssuer
07918096MedicaidNY
03028773MedicaidNY
04916556MedicaidNY
00877436MedicaidNY
1093207995MedicaidNY
1073569133MedicaidNY
00635227MedicaidNY
07078893MedicaidNY

Other names 1

  • Sims and Associates Podiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewis J Sims DPM PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

60 Park Ln
Highland, NY 12528
Phone (845) 471-2243

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1043795396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EASTDALE AVE S",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031955",
            "telephone_number": "845-471-2243",
            "fax_number": "845-471-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EASTDALE AVE S",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031955",
            "telephone_number": "845-471-2243",
            "fax_number": "845-471-2883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Main St",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "125241789",
            "country_code": "US",
            "telephone_number": "845-897-2735",
            "fax_number": "845-897-2763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Park Ln",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "NY",
            "postal_code": "125287810",
            "country_code": "US",
            "telephone_number": "845-471-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEWIS J SIMS DPM P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BERBERICH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-471-2243"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07918096",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03028773",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04916556",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00877436",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093207995",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073569133",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00635227",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07078893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sims and Associates Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.