Individual provider Active NPI

Lester Neil Dennis, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1669474995
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N002375 Issued in NY
Practice address
102 Norman Ave
Brooklyn, NY 11222-2934
Phone
(718) 389-4404
Fax
(718) 389-5317
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N002375 NY Primary

Addresses

Primary practice location

102 Norman Ave
Brooklyn, NY 11222-2934

Mailing address

218 Beach Ave
Mamaroneck, NY 10543-2703
Phone (914) 381-4321

Other identifiers 1

IdentifierTypeStateIssuer
00414535MedicaidNY

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
I20051010000077 NY Practitioner - Podiatry 5092730085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
93.52
Promoting interoperability
86
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N002375NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
SJR Medical, PC Foot & Ankle Surgery CurrentSince Oct 1, 2022 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Apr 1, 2012 Accepting new patients
Cur Alta Medical Ny PLLC Foot & Ankle Surgery CurrentSince Dec 16, 2024 Accepting new patients
Cur Alta Medical Ny PLLC Foot & Ankle Surgery CurrentSince Dec 16, 2024 Accepting new patients
Flushing Hospital Medical Center CurrentSince Apr 1, 2012 Accepting new patients

Locations

165 Nassau Ave
Brooklyn, NY 11222
Phone (718) 389-4404

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

111 Main St
Nanuet, NY 10954
Phone (845) 623-5863

100 Manetto Hill Rd
Ste 103
Plainview, NY 11803
Phone (516) 652-4027

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

Networks

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

Interoperability endpoints

  • Direct secure messaging: ldennis@stjohnsmedicalpc.directmedgenehr.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1669474995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BEACH AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432703",
            "telephone_number": "914-381-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 NORMAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222934",
            "telephone_number": "718-389-4404",
            "fax_number": "718-389-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "LESTER",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N002375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00414535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.