NPIMap

Organization Active NPI

Kelly Lucas DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Franklin Square, NY
National Provider Identifier
1629615588
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KELLY LUCAS DPM PC
Practice address
925 Hempstead Tpke Ste 110
Franklin Square, NY 11010-3636
Phone
(516) 352-4454
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Kelly M Lucas, DPM
Title
President
Phone
(516) 352-4454

Specialties & licenses 1

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

Addresses

Primary practice location

925 Hempstead Tpke Ste 110
Franklin Square, NY 11010-3636

Mailing address

73 E Shore Rd
Halesite, NY 11743-1127
Phone (516) 352-4454

National Provider Directory

National Provider Directory

Locations

925 Hempstead Tpke
Ste 110
Franklin Square, NY 11010
Phone (516) 352-3417

8002 Kew Gardens Rd
Ste 110
Kew Gardens, NY 11415
Phone (718) 793-2182

Practitioners & affiliated clinicians

Practitioners 7

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": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1629615588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 E SHORE RD",
            "city": "HALESITE",
            "state": "NY",
            "postal_code": "117431127",
            "telephone_number": "516-352-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HEMPSTEAD TPKE STE 110",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103636",
            "telephone_number": "516-352-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY LUCAS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-352-4454",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.