Organization Active NPI

JSL DPM PC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1790418705
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
JSL DPM PC
Practice address
385 5TH Ave RM 1410
New York, NY 10016-3338
Phone
(212) 284-6868
Fax
(212) 504-8237
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Dr. John S Lee, DPM
Title
Podiatrist
Phone
(212) 284-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

385 5TH Ave RM 1410
New York, NY 10016-3338

Mailing address

385 5TH Ave RM 1410
New York, NY 10016-3338
Phone (212) 284-6868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1790418705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 5TH AVE RM 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163338",
            "telephone_number": "212-284-6868",
            "fax_number": "212-504-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 5TH AVE RM 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163338",
            "telephone_number": "212-284-6868",
            "fax_number": "212-504-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSL DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "212-284-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.