JONATHAN P SUMBER DPMPC NPI 1235313669

NPI Information

NPI: 1235313669
Provider Name: JONATHAN P SUMBER, DPM,PC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
190 FAIR ST
KINGSTON, NY
ZIP 12401
Phone: (845) 331-0601
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JONATHAN P SUMBER, DPM,PC is a primary podiatric medicine podiatrist in Kingston, NY. JONATHAN P SUMBER, DPM,PC NPI is 1235313669. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

190 FAIR ST
KINGSTON, NY
ZIP 12401-514
Phone: (845) 331-0601
Fax: (845) 331-0601

The provider's authorized official is Jonathan Paul Sumber .
The authorized official title is Owner and has the following contact phone number (845) 331-0601.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	N004351-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4690380001	MEDICARE NSC	NEW YORK
2	PPW071	MEDICARE PIN	NEW YORK
3	T51452	MEDICARE UPIN	NEW YORK
4	DF4330	MEDICARE OSCAR/CERTIFICATION
5	01094059	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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