Lady Paula Dejesus, DPM, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

006439 Issued in NY

Legal business name

LADY PAULA DEJESUS, DPM, P.C.

Practice address

23-18 Broadway
Astoria, NY 11106

Phone

(347) 820-2531

NPI assigned

Mar 14, 2014

Last updated

Mar 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lady Paula Dejesus, DPM

Title

Owner

Phone

(347) 820-2531

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1255757241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-18 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "347-820-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-18 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "347-820-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY PAULA DEJESUS, DPM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "LADY PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-820-2531",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006439",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Astoria, NY
• Providers in Astoria, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.