Organization Active NPI

Jonathan P Sumber, DPM,PC

  • Primary Podiatric Medicine Podiatrist
  • Kingston, NY
National Provider Identifier
1235313669
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N004351-1 Issued in NY
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

Updated by the provider on Dec 20, 2007

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)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01094059MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.