Organization Active NPI

Richard E. Jones,DPM.,LLC

  • Sports Medicine Podiatrist
  • Saratoga Springs, NY
National Provider Identifier
1770658924
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
N004241-1 Issued in NY
Legal business name
RICHARD E. JONES,DPM.,LLC
Practice address
414 Maple Ave
Suite 700
Saratoga Springs, NY 12866-5550
Phone
(518) 583-3338
Fax
(518) 583-2970
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Shelly Bresee
Title
Billing
Phone
(518) 583-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0000X N004241-1 NY Primary

Addresses

Primary practice location

414 Maple Ave
Suite 700
Saratoga Springs, NY 12866-5550

Mailing address

414 Maple Ave
Suite 700
Saratoga Springs, NY 12866-5550
Phone (518) 583-3338

Other identifiers 1

IdentifierTypeStateIssuer
03189519MedicaidNY

National Provider Directory

National Provider Directory

Locations

414 Maple Ave
Ste 700
Saratoga Springs, NY 12866
Phone (518) 583-3338

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770658924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE",
            "address_2": "SUITE 700",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665550",
            "telephone_number": "518-583-3338",
            "fax_number": "518-583-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE",
            "address_2": "SUITE 700",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665550",
            "telephone_number": "518-583-3338",
            "fax_number": "518-583-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E. JONES,DPM.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRESEE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "518-583-3338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "N004241-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03189519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.