Active NPI
Jacqueline M Sutera DPM PC
- Podiatrist
- New York, NY
National Provider Identifier
1841305026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N0060302
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot Surgery Podiatrist
- Emerson, NJ
- NPI 1073688271
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.