Organization Active NPI

Jimmy Van DPM PC

  • Orthopaedic Foot and Ankle Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1205280252
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
006604 Issued in NY
Legal business name
JIMMY VAN DPM PC
Practice address
833 58TH St
Brooklyn, NY 11220-3609
Phone
(718) 844-1955
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Jimmy Van, DPM
Title
Podiatrist
Phone
(718) 844-1955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0004X 006604 NY Primary

Addresses

Primary practice location

833 58TH St
Brooklyn, NY 11220-3609

Mailing address

833 58TH St
Brooklyn, NY 11220-3609
Phone (718) 844-1955

National Provider Directory

National Provider Directory

Locations

833 58th St
Brooklyn, NY 11220
Phone (718) 290-2919

202 Canal St
Fl 2
New York, NY 10013
Phone (718) 844-1955

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1205280252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203609",
            "telephone_number": "718-844-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203609",
            "telephone_number": "718-844-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY VAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "718-844-1955",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "006604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.