Jon R Sundell DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005463 Issued in NY

Legal business name

JON R SUNDELL DPM PC

Practice address

7355 Amboy Rd
Staten Island, NY 10307-1426

Phone

(917) 207-9076

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jon R Sundell, DPM

Title

President

Phone

(917) 207-9076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1851599005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071426",
            "telephone_number": "917-207-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071426",
            "telephone_number": "917-207-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON R SUNDELL DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SUNDELL",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-207-9076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Johnson
• Valarie Ann Johnson, NP
• Nicolette Johnston
• Roseana Jolly, LCSW
• Simritha Nilavarath Jolly, RN
• Jona Care Physical Therapy PC
• Alexa V. Jones
• Renee Jones, LCSW
• Eui-Don Joo, M.D.
• Jordan B. Glaser M.D.P.C

• Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.