Ross C Van Kleunen

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005531-1 Issued in NY

Legal business name

ROSS C VAN KLEUNEN

Practice address

939 Central Ave
Peekskill, NY 10566-2008

Phone

(914) 737-5416

Fax

(914) 737-5935

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ross C Van Kleunen, DPM

Title

Owner

Phone

(914) 737-5416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1710479571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 CENTRAL AVE",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662008",
            "telephone_number": "914-737-5416",
            "fax_number": "914-737-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 CENTRAL AVE",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662008",
            "telephone_number": "914-737-5416",
            "fax_number": "914-737-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS C VAN KLEUNEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "VAN KLEUNEN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-737-5416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005531-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.