540 East 43Rd Street Podiatry PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

NOO5983 Issued in NY

Legal business name

540 EAST 43RD STREET PODIATRY PLLC

Practice address

540 E 43Rd St
Brooklyn, NY 11203-5716

Phone

(718) 451-1206

Fax

(718) 629-2427

NPI assigned

Jan 2, 2008

Last updated

Jan 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shauna M Lewis, DPMNPI 1871563221

Title

President

Phone

(718) 451-1206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shauna Marie Lewis, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1871563221
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1750566329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E 43RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035716",
            "telephone_number": "718-451-1206",
            "fax_number": "718-629-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E 43RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035716",
            "telephone_number": "718-451-1206",
            "fax_number": "718-629-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "540 EAST 43RD STREET PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-451-1206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "NOO5983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.