NPIMap

Organization Active NPI

Lynda Kreitzer DPM LLC

  • Foot Surgery Podiatrist
  • North Syracuse, NY
National Provider Identifier
1558556068
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003033 Issued in NY
Legal business name
LYNDA KREITZER DPM LLC
Practice address
316 S Main St
North Syracuse, NY 13212-3124
Phone
(315) 452-1314
NPI assigned
Sep 7, 2007
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Lynda Kreitzer, DPMNPI 1245307594
Title
Owner/Doctor
Phone
(315) 452-1314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N003033 NY Primary

Addresses

Primary practice location

316 S Main St
North Syracuse, NY 13212-3124

Mailing address

316 S Main St
North Syracuse, NY 13212-3124
Phone (315) 452-1314

Other identifiers 3

IdentifierTypeStateIssuer
AA0287OtherNYMEDICARE
480022823OtherNYMCAR RAILROAD
00590538MedicaidNY

National Provider Directory

National Provider Directory

Locations

316 S Main St
Syracuse, NY 13212
Phone (315) 452-1314

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1558556068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123124",
            "telephone_number": "315-452-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123124",
            "telephone_number": "315-452-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDA KREITZER DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "KREITZER",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "315-452-1314",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AA0287",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAR RAILROAD",
            "identifier": "480022823",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00590538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.