Active NPI
Eastside Podiatry
- Foot Surgery Podiatrist
- Fairport, NY
National Provider Identifier
1023045549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N003357
- Legal business name
- EASTSIDE PODIATRY
- Practice address
- 430 Crosskeys Office Park
Fairport, NY 14450 - Phone
- (585) 223-1633
- Fax
- (585) 421-8093
- NPI assigned
- Jun 28, 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
- Dr. Lewis G. Giglia, D.P.M.
- Title
- General Partner
- Phone
- (585) 223-1633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N003357 | NY | Primary |
Addresses
Primary practice location
430 Crosskeys Office Park
Fairport, NY 14450
Mailing address
430 Crosskeys Office Park
Fairport, NY 14450
Phone (585) 223-1633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040902001287 | NY | Part B Supplier - Clinic/Group Practice | 0547236366 |
Receives reassigned benefits from 2 practitioners Practice locations: Fairport, NY |
| O20100930043584 | NY | DME Supplier - Physician - Podiatry | 0547236366 | Practice locations: Fairport, NY |
National Provider Directory
National Provider DirectoryLocations
194 Parrish St
Canandaigua, NY 14424
Phone (585) 394-6250
430 Cross Keys Office Park
Fairport, NY 14450
Phone (585) 223-1633
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Macedon, NY
- NPI 1740320597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1023045549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 CROSSKEYS OFFICE PARK",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "14450",
"telephone_number": "585-223-1633",
"fax_number": "585-421-8093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 CROSSKEYS OFFICE PARK",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "14450",
"telephone_number": "585-223-1633",
"fax_number": "585-421-8093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTSIDE PODIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "GIGLIA",
"authorized_official_first_name": "LEWIS",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "585-223-1633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N003357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.