Warren L. Kent D.P.M. P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

003191 Issued in NY

Legal business name

WARREN L. KENT D.P.M. P.C.

Practice address

136 Terryville Rd
Port Jefferson Station, NY 11776-1330

Phone

(631) 928-1815

Fax

(631) 928-2945

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Warren Kent, D.P.M.

Title

President

Phone

(631) 928-1815

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1659568632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 TERRYVILLE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761330",
            "telephone_number": "631-928-1815",
            "fax_number": "631-928-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 TERRYVILLE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761330",
            "telephone_number": "631-928-1815",
            "fax_number": "631-928-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN L. KENT D.P.M. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-928-1815",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "003191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00633069",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Walz, PA
• Ryan Thomas Wappaus, DPT
• Alexa Nicole Ward
• Casey Lynn Ward
• Hillard Warm, M.D.
• Sherry D Warren
• Washington Park Women'S Health PC
• Kathleen Marie Waskewicz, PT
• Michele Weaver, LCSW
• Lynn Weiss, R.N.

• Foot Surgery Podiatrist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.