Jeffrey P Kadlecik, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N005805 Issued in NY

Practice address

2333 N Triphammer Rd
Suite 202
Ithaca, NY 14850-1082

Phone

(607) 257-7700

Fax

(607) 257-1237

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY2 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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ithaca Podiatry Associates

  • Prosthetic/Orthotic Supplier
  • Ithaca, NY
  • NPI 1063683142
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1235224494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 N TRIPHAMMER RD",
            "address_2": "SUITE 202",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501082",
            "telephone_number": "607-257-7700",
            "fax_number": "607-257-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N TRIPHAMMER RD",
            "address_2": "SUITE 202",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501082",
            "telephone_number": "607-257-7700",
            "fax_number": "607-257-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADLECIK",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02195908",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223797623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorene Cornish Jump, NP
• Seungho Jun, MD
• Judith Ann June, LPN
• Michael June, RN
• Edison Jyang, M.D.
• Parkavi Kalaiselvan, MD
• Faris Moh'D Mahdi Alhaj Sa Kamal, MD
• Ira K Kamp, DDS
• Laurie Conklin Kamp, LMHC
• Rita Michelle Kanaar

• Foot Surgery Podiatrist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.