Hudson Podiatry PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

HUDSON PODIATRY PC

Practice address

501 5TH Ave RM 506
New York, NY 10017-7838

Phone

(212) 921-7900

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Sooji KimNPI 1053717629

Title

DPM

Phone

(845) 642-8851

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sooji Kim, DPM

  • Foot Surgery Podiatrist
  • New York, NY
  • NPI 1053717629
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1871182071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SARATOGA ST",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109832620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 5TH AVE RM 506",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177838",
            "telephone_number": "212-921-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Broadway Rm 1775",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "102791810",
            "country_code": "US",
            "telephone_number": "212-921-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUDSON PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOOJI",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "845-642-8851"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hudson Mental Health Counseling, P.C.
• Hudson Neurology P.C.
• Hudson Orthopedics PLLC
• Hudson Pain Management Services, P.C.
• Hudson Plastic Surgery NJ LLC
• Hudson Psychotherapy LCSW PLLC
• Hudson River Gynecology PC
• Hudson River Orthodontics, PC
• Hudson River Wellness LLC
• Hudson River Wellness, LLC

• Foot & Ankle Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.