Individual provider Active NPI

Jimmy Seese, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Lee, NJ
National Provider Identifier
1194839092
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD2346 Issued in NJ
Practice address
2175 Lemoine Ave Ste 302
Fort Lee, NJ 07024-6001
Phone
(201) 944-4477
Fax
(201) 944-9998
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD2346 NJ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X N005549-1 NY

Addresses

Primary practice location

2175 Lemoine Ave Ste 302
Fort Lee, NJ 07024-6001

Mailing address

2175 Lemoine Ave Ste 302
Fort Lee, NJ 07024-6001
Phone (201) 944-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040402001487 NY Practitioner - Podiatry 4284627688 Reassigns benefits to 1 organization
Practice locations: Flushing, NY
I20080116000528 NJ Practitioner - Podiatry 4284627688 Reassigns benefits to 1 organization
Practice locations: Fort Lee, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Podiatry Group PLLCGroup PAC ID 8527311166, 2 clinicians
Bergen Foot and Ankle Group LLCGroup PAC ID 4880985167, 2 clinicians

Practice addresses (Care Compare)

14431 41St Ave
Apt L2
Flushing, NY 11355-1452
Phone (718) 321-3335

2175 Lemoine Ave
Suite 302
Fort Lee, NJ 07024-6019
Phone (201) 944-4477

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD2346NJMDFoot & Ankle Surgery Podiatrist
N005549-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Foot & Ankle Group LLC Foot & Ankle Surgery CurrentSince Jun 10, 2016 Accepting new patients

Locations

2175 Lemoine Ave
Ste 302
Fort Lee, NJ 07024
Phone (201) 944-4477

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1194839092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 LEMOINE AVE STE 302",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246001",
            "telephone_number": "201-944-4477",
            "fax_number": "201-944-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 LEMOINE AVE STE 302",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246001",
            "telephone_number": "201-944-4477",
            "fax_number": "201-944-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEESE",
        "first_name": "JIMMY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD2346",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005549-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.