Individual provider Active NPI

Lewis S Guttesman, DPM

  • Podiatrist
  • Princeton, NJ
National Provider Identifier
1730178518
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD0082900 Issued in NJ
Practice address
11 N Harrison St
Princeton, NJ 08540-3502
Phone
(609) 924-1689
Fax
(609) 497-2936
NPI assigned
Oct 14, 2005
Last updated
Oct 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD0082900 NJ Primary

Addresses

Primary practice location

11 N Harrison St
Princeton, NJ 08540-3502

Mailing address

11 N Harrison St
Princeton, NJ 08540-3502
Phone (609) 924-1689

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

LicenseStateTypeSpecialty
25MD0082900NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Foot and Ankle Associates Podiatrist Past Accepting new patients
Princeton Foot and Ankle Associates Podiatrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17315/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1730178518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403502",
            "telephone_number": "609-924-1689",
            "fax_number": "609-497-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403502",
            "telephone_number": "609-924-1689",
            "fax_number": "609-497-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTESMAN",
        "first_name": "LEWIS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD0082900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.