Organization Active NPI

Jonat Lok, DPM, PC

  • Podiatrist
  • Flushing, NY
National Provider Identifier
1194968149
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005854 Issued in NY
Legal business name
JONAT LOK, DPM, PC
Practice address
13347 Sanford Ave Ste 2C
Flushing, NY 11355-5816
Phone
(718) 321-8395
Fax
(866) 596-9505
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Dr. Jonat Lok, DPMNPI 1902806110
Title
President
Phone
(917) 776-5127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N005854 NY Primary

Addresses

Primary practice location

13347 Sanford Ave Ste 2C
Flushing, NY 11355-5816

Mailing address

29 Maple St
Roslyn Heights, NY 11577-1906
Phone (917) 776-5127

Other identifiers 1

IdentifierTypeStateIssuer
07569OtherNYGHI MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000435 NY Part B Supplier - Clinic/Group Practice 6002963097 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY; New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1194968149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MAPLE ST",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771906",
            "telephone_number": "917-776-5127",
            "fax_number": "866-596-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE STE 2C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555816",
            "telephone_number": "718-321-8395",
            "fax_number": "866-596-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONAT LOK, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "LOK",
        "authorized_official_first_name": "JONAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-776-5127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "07569",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.