Active NPI
Samuel B Pearlstein
- Podiatrist
- Fayetteville, NY
National Provider Identifier
1972665719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- SAMUEL B PEARLSTEIN
- Practice address
- 512 Towne Dr
Fayetteville, NY 13066-1331 - Phone
- (315) 637-5500
- Fax
- (315) 637-5588
- NPI assigned
- Dec 15, 2006
- 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
- Ms. Debra L Pearlstein
- Title
- Office Manager
- Phone
- (315) 637-5500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NY | Primary | |
| Sports Medicine Podiatrist | 213ES0000X | NY | ||
| Foot Surgery Podiatrist | 213ES0131X | NY |
Addresses
Primary practice location
512 Towne Dr
Fayetteville, NY 13066-1331
Mailing address
512 Towne Dr
Fayetteville, NY 13066-1331
Phone (315) 637-5500
National Provider Directory
National Provider DirectoryLocations
512 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-5500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1972665719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 TOWNE DR",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661331",
"telephone_number": "315-637-5500",
"fax_number": "315-637-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 TOWNE DR",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661331",
"telephone_number": "315-637-5500",
"fax_number": "315-637-5588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL B PEARLSTEIN",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "PEARLSTEIN",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "315-637-5500",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "213ES0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Sports Medicine",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.