Active NPI
Jonathan P Sumber, DPM,PC
- Primary Podiatric Medicine Podiatrist
- Kingston, NY
National Provider Identifier
1235313669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- N004351-1
- Legal business name
- JONATHAN P SUMBER, DPM,PC
- Practice address
- 190 Fair St
Kingston, NY 12401-0514 - Phone
- (845) 331-0601
- Fax
- (845) 331-0601
- NPI assigned
- Dec 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Paul Sumber, DPM
- Title
- Owner
- Phone
- (845) 331-0601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N004351-1 | NY | Primary |
Addresses
Primary practice location
190 Fair St
Kingston, NY 12401-0514
Mailing address
PO Box 3451
Kingston, NY 12402-3451
Phone (845) 331-0601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01094059 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198108800000",
"number": "1235313669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3451",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124023451",
"telephone_number": "845-331-0601",
"fax_number": "845-331-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 FAIR ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124010514",
"telephone_number": "845-331-0601",
"fax_number": "845-331-0601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN P SUMBER, DPM,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-20",
"status": "A",
"authorized_official_last_name": "SUMBER",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-331-0601",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "N004351-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01094059",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.