Individual provider Active NPI

Katherine Lai, DPM

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1639263577
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005009 Issued in NY
Practice address
120 E 56TH St RM 1150
New York, NY 10022-3654
Phone
(212) 980-6487
Fax
(212) 980-8685
NPI assigned
Oct 3, 2006
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005009 NY Primary

Addresses

Primary practice location

120 E 56TH St RM 1150
New York, NY 10022-3654

Mailing address

120 E 56TH St RM 1150
New York, NY 10022-3654
Phone (212) 980-6487

Other identifiers 2

IdentifierTypeStateIssuer
480029242OtherNYINDIVIDUAL RR PROVIDER #
01493705MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000641 NY Practitioner - Podiatry 5193872455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan M. Levy, DPM, PCGroup PAC ID 0042229585, 5 clinicians

Practice addresses (Care Compare)

2079 Forest Ave
Staten Island, NY 10303-1735
Phone (718) 815-6560

418 E 71St St
FL 5
New York, NY 10021-4894
Phone (212) 980-6487

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions20
Removal of nail tissue125
Removal or shaving of skin growth32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005009NYMDMental Health Counselor
N005009NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Christian Community Health Center, Inc. CurrentSince Jul 1, 2011 Accepting new patients
Beacon Christian Community Health Center Inc CurrentSince Jul 1, 2011 Accepting new patients
Jonathan M. Levy, DPM, PC Foot Surgery CurrentSince Dec 15, 2019 Accepting new patients
Dr. Mariola Rivera Podiatry, PLLC Foot Surgery PastSince Jun 1, 2018 Accepting new patients

Locations

111 E 88th St
New York, NY 10128
Phone (212) 980-6487

111 E 88th St
Apt 1D
New York, NY 10128

120 E 56th St
Rm 1150
New York, NY 10022
Phone (212) 980-6487

418 E 71st St
Fl 5
New York, NY 10021
Phone (212) 396-3016

2079 Forest Ave
Staten Island, NY 10303
Phone (718) 815-6560

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: katherine.lai.1@20119.direct.athenahealth.com
  • Direct secure messaging: klai218477@northwell.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1639263577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST RM 1150",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223654",
            "telephone_number": "212-980-6487",
            "fax_number": "212-980-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST RM 1150",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223654",
            "telephone_number": "212-980-6487",
            "fax_number": "212-980-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "KATHERINE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL RR PROVIDER #",
            "identifier": "480029242",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01493705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.