Organization Active NPI

Paul Kesselman

  • Foot & Ankle Surgery Podiatrist
  • Woodside, NY
National Provider Identifier
1194907170
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N003251 Issued in NY
Legal business name
PAUL KESSELMAN
Practice address
5955 47TH Ave
Woodside, NY 11377-5662
Phone
(718) 426-6400
Fax
(718) 803-3808
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Dr. Paul Kesselman, DPM
Title
Owner
Phone
(718) 426-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N003251 NY Primary

Addresses

Primary practice location

5955 47TH Ave
Woodside, NY 11377-5662

Mailing address

5955 47TH Ave
Woodside, NY 11377-5662
Phone (718) 426-6400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1194907170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 47TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775662",
            "telephone_number": "718-426-6400",
            "fax_number": "718-803-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 47TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775662",
            "telephone_number": "718-426-6400",
            "fax_number": "718-803-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL KESSELMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "KESSELMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-426-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N003251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.