Organization Active NPI

Keselman Podiatry PC

  • Podiatric Clinic/Center
  • Staten Island, NY
National Provider Identifier
1285940684
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
N006353 Issued in NY
Legal business name
KESELMAN PODIATRY PC
Practice address
32 Richmond Ter Ste 102
Staten Island, NY 10301-1904
Phone
(917) 359-9500
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Dr. Julya A. Keselman, DPMNPI 1881917748
Title
President
Phone
(917) 359-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Podiatric Clinic/Center 261QP1100X N006353 NY Primary

Addresses

Primary practice location

32 Richmond Ter Ste 102
Staten Island, NY 10301-1904

Mailing address

229 Hales Ave
Staten Island, NY 10312-6102
Phone (917) 359-5000

National Provider Directory

National Provider Directory

Locations

32 Richmond Ter
Ste 102
Staten Island, NY 10301
Phone (917) 359-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1285940684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 HALES AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126102",
            "telephone_number": "917-359-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 RICHMOND TER STE 102",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011904",
            "telephone_number": "917-359-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESELMAN PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "KESELMAN",
        "authorized_official_first_name": "JULYA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-359-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "N006353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.