Organization Active NPI

Jacqueline M Sutera DPM PC

  • Podiatrist
  • New York, NY
National Provider Identifier
1841305026
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0060302 Issued in NY
Legal business name
JACQUELINE M SUTERA DPM PC
Practice address
57 W 57TH St
Suite 1106
New York, NY 10019
Phone
(212) 755-8858
Fax
(212) 755-3676
NPI assigned
Aug 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Jacqueline M Sutera, DPM
Title
Podiatrist
Phone
(212) 755-8858

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00279500 NJ
Podiatrist 213E00000X N0060302 NY Primary

Addresses

Primary practice location

57 W 57TH St
Suite 1106
New York, NY 10019

Mailing address

57 W 57TH Street
Suite 1106
New York, NY 10019
Phone (212) 755-8858

National Provider Directory

National Provider Directory
Tax ID family
Jacqueline M Sutera DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841305026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 57TH STREET",
            "address_2": "SUITE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-755-8858",
            "fax_number": "212-755-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST",
            "address_2": "SUITE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-755-8858",
            "fax_number": "212-755-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE M SUTERA DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTERA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "212-755-8858",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00279500",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0060302",
            "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 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.