Active NPI
Katherine Lai, DPM
- Foot Surgery Podiatrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N005009
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480029242 | Other | NY | INDIVIDUAL RR PROVIDER # |
| 01493705 | Medicaid | NY |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 20 |
| Removal of nail tissue | 125 |
| Removal or shaving of skin growth | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005009 | NY | MD | Mental Health Counselor |
| N005009 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Christian Community Health Center, Inc. | Current | Accepting new patients | |
| Beacon Christian Community Health Center Inc | Current | Accepting new patients | |
| Jonathan M. Levy, DPM, PC | Foot Surgery | Current | Accepting new patients |
| Dr. Mariola Rivera Podiatry, PLLC | Foot Surgery | Past | 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
- katherine.lai.1@20119.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1639246358
-
dba Park 56 Podiatry
- Primary Podiatric Medicine Podiatrist
- New York, NY
- NPI 1972556132
Foot Surgery
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1750700902
-
- Foot Surgery Podiatrist
- White Plains, NY
- NPI 1396233664
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.