Organization Active NPI

James Lentini DPM PLLC

  • Podiatrist
  • Norwich, NY
National Provider Identifier
1407044324
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
004944 Issued in NY
Legal business name
JAMES LENTINI DPM PLLC
Practice address
15 Eaton Ave
Norwich, NY 13815-1768
Phone
(607) 336-9098
Fax
(607) 336-9097
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Dr. James Paul Lentini, DPMNPI 1801899430
Title
President/Podiatrist
Phone
(607) 336-9098

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 004944 NY Primary

Addresses

Primary practice location

15 Eaton Ave
Norwich, NY 13815-1768

Mailing address

15 Eaton Ave
Norwich, NY 13815-1768
Phone (607) 336-9098

Other identifiers 1

IdentifierTypeStateIssuer
01262073MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071212000094 NY Part B Supplier - Clinic/Group Practice 0042300253 Receives reassigned benefits from 1 practitioner
Practice locations: Norwich, NY
O20100930057377 NY DME Supplier - Physician - Podiatry 0042300253 Practice locations: Norwich, NY

National Provider Directory

National Provider Directory

Locations

15 Eaton Ave
Norwich, NY 13815
Phone (607) 334-9780

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1407044324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EATON AVE",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151768",
            "telephone_number": "607-336-9098",
            "fax_number": "607-336-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EATON AVE",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151768",
            "telephone_number": "607-336-9098",
            "fax_number": "607-336-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES LENTINI DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "LENTINI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/PODIATRIST",
        "authorized_official_telephone_number": "607-336-9098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "004944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01262073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.