Active NPI
Sorelis Jimenez, DPM
- Foot & Ankle Surgery Podiatrist
- New York, NY
National Provider Identifier
1689800328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N006307
- Practice address
- 1090 Amsterdam Avenue
Suite 10C
New York, NY 10025-1737 - Phone
- (212) 845-9991
- Fax
- (212) 864-2494
- NPI assigned
- Jun 9, 2009
- Last updated
- Jan 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 & Ankle Surgery Podiatrist | 213ES0103X | N006307 | NY | Primary |
Addresses
Primary practice location
1090 Amsterdam Avenue
Suite 10C
New York, NY 10025-1737
Mailing address
240 East 76 Street
Apt. 8H
New York, NY 10021
Phone (347) 564-6180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N006307 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bimc Faculty Practice | Past | Accepting new patients | |
| Morningside Podiatry PLLC | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- New York, NY
- NPI 1518269752
-
- Surgery Physician
- New York, NY
- NPI 1477756898
-
- Foot & Ankle Surgery Podiatrist
- New York, NY
- NPI 1821789959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1689800328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 EAST 76 STREET",
"address_2": "APT. 8H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "347-564-6180",
"fax_number": "212-734-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 AMSTERDAM AVENUE",
"address_2": "SUITE 10C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251737",
"telephone_number": "212-845-9991",
"fax_number": "212-864-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "SORELIS",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-09",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N006307",
"primary": true
}
],
"identifiers": [],
"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 Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.