Jay Mermelstein DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004414 Issued in NY

Legal business name

JAY MERMELSTEIN DPM PC

Practice address

105 Stevens Ave
Ste 301
Mount Vernon, NY 10550-2686

Phone

(914) 699-1515

Fax

(914) 699-2907

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Jay Mermelstein, DPM

Title

Owner President

Phone

(914) 699-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1770567166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "STE 301",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-699-1515",
            "fax_number": "914-699-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "STE 301",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-699-1515",
            "fax_number": "914-699-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY MERMELSTEIN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "MERMELSTEIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "914-699-1515",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01084459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry James, REGISTERED NURSE
• Marc Charles Janis, MD
• Olympia Nyonomuan Jarboe, LMSW
• Shirnette Nadine Jarrett-McLeod
• Katasha Jarvis
• Jay Mermelstein, DPM.PC
• Jba Women'S Medical PC
• La Shawn Renee Jemison, R.N.
• Tawanna Jenkins, SERVICE CORDINATOR
• Carrease Jane Jennings

• Podiatrist in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.