Provider Demographics
NPI:1437149374
Name:HELMAN, JAY D (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:D
Last Name:HELMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1262
Mailing Address - Country:US
Mailing Address - Phone:845-735-8440
Mailing Address - Fax:845-735-8445
Practice Address - Street 1:300 N MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1262
Practice Address - Country:US
Practice Address - Phone:845-735-8440
Practice Address - Fax:845-735-8445
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-23
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002496213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P28223Medicare ID - Type Unspecified
NY4144700001Medicare NSC
T50781Medicare UPIN