Organization Active NPI

James J Delorenzo, DPM PLLC

  • Podiatrist
  • Poughkeepsie, NY
National Provider Identifier
1659569887
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005467 Issued in NY
Legal business name
JAMES J DELORENZO, DPM PLLC
Practice address
143 Hooker Ave
Poughkeepsie, NY 12601-4936
Phone
(845) 897-3338
Fax
(845) 897-3335
NPI assigned
Oct 12, 2007
Organization subpart
Yes
Parent organization
JAMES J DELORENZO, DPM PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Mrs. Jessica A Delorenzo
Title
Office Administrator
Phone
(845) 242-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N005467 NY Primary

Addresses

Primary practice location

143 Hooker Ave
Poughkeepsie, NY 12601-4936

Mailing address

143 Hooker Ave
Poughkeepsie, NY 12601-4936
Phone (845) 897-3338

Other identifiers 1

IdentifierTypeStateIssuer
01897896MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050113000048 NY Part B Supplier - Clinic/Group Practice 7911956370 Receives reassigned benefits from 1 practitioner
Practice locations: Poughkeepsie, NY
O20100930082681 NY DME Supplier - Physician - Podiatry 7911956370 Practice locations: Poughkeepsie, NY

National Provider Directory

National Provider Directory
Part of
James J Delorenzo DPM PLLC

Locations

21 Old Main St
Ste 107
Fishkill, NY 12524
Phone (845) 897-3338

143 Hooker Ave
Poughkeepsie, NY 12601
Phone (845) 471-1000

Practitioners & affiliated clinicians

Practitioners 2

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": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1659569887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 HOOKER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014936",
            "telephone_number": "845-897-3338",
            "fax_number": "845-897-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 HOOKER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014936",
            "telephone_number": "845-897-3338",
            "fax_number": "845-897-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J DELORENZO, DPM PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES J DELORENZO, DPM PLLC",
        "enumeration_date": "2007-10-12",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "DELORENZO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "845-242-8890",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01897896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.