Active NPI
Jeffrey A Parker, DPM
- Podiatrist
- Port Jervis, NY
National Provider Identifier
1982603346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N002727-1
- Practice address
- 156 Pike St
Port Jervis, NY 12771-1808 - Phone
- (845) 856-7700
- Fax
- (845) 858-9284
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N002727-1 | NY | Primary |
Addresses
Primary practice location
156 Pike St
Port Jervis, NY 12771-1808
Mailing address
156 Pike St
Port Jervis, NY 12771-1808
Phone (845) 856-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01537044 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002727 | NY | MD | Acupuncturist |
| N002727-1 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1982603346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 PIKE ST",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127711808",
"telephone_number": "845-856-7700",
"fax_number": "845-858-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 PIKE ST",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127711808",
"telephone_number": "845-856-7700",
"fax_number": "845-858-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N002727-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01537044",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Jervis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.