Organization Active NPI

Paul Kesselman DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1396927372
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N0032512 Issued in NY
Legal business name
PAUL KESSELMAN DPM
Practice address
1203 Avenue J
Ste 3a
Brooklyn, NY 11230-3669
Phone
(718) 338-7878
Fax
(718) 338-7879
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Dr. Paul Kesselman, DPM
Title
Owner
Phone
(718) 338-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N0032512 NY Primary

Addresses

Primary practice location

1203 Avenue J
Ste 3a
Brooklyn, NY 11230-3669

Mailing address

224 W Henrietta Ave
Oceanside, NY 11572-5054
Phone (718) 338-7878

National Provider Directory

National Provider Directory

Locations

1203 Avenue J
Ste 3A
Brooklyn, NY 11230
Phone (718) 338-7878

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1396927372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W HENRIETTA AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725054",
            "telephone_number": "718-338-7878",
            "fax_number": "718-338-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AVENUE J",
            "address_2": "STE 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303669",
            "telephone_number": "718-338-7878",
            "fax_number": "718-338-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL KESSELMAN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "KESSELMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-338-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N0032512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.