Organization Active NPI

Genesee Valley Podiatry LLP

  • Foot & Ankle Surgery Podiatrist
  • Rochester, NY
National Provider Identifier
1053417014
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GENESEE VALLEY PODIATRY LLP
Practice address
500 W Whitney Road
Rochester, NY 14621-3064
Phone
(585) 266-9140
Fax
(585) 266-2223
NPI assigned
Sep 16, 2006
Last updated
Oct 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard J Gensheimer, DPM
Title
Partner
Phone
(585) 586-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

500 W Whitney Road
Rochester, NY 14621-3064

Mailing address

908 Niagara Falls Blvd Ste 208
N Tonawanda, NY 14120-2019
Phone (716) 692-3302

Other practice location 1

1404 Portland Avenue
Rochester, NY 14621-3016
Phone (585) 266-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071106000171 NY Part B Supplier - Clinic/Group Practice 3870680986 Receives reassigned benefits from 4 practitioners
Practice locations: Penfield, NY
O20100930022966 NY DME Supplier - Physician - Podiatry 3870680986 Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

4500 Millennium Dr
Ste C
Geneseo, NY 14454
Phone (585) 243-2486

564 E Ridge Rd
Ste 203
Rochester, NY 14621

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1053417014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD STE 208",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WHITNEY ROAD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213064",
            "telephone_number": "585-266-9140",
            "fax_number": "585-266-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Portland Avenue",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213016",
            "country_code": "US",
            "telephone_number": "585-266-1940",
            "fax_number": "585-266-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESEE VALLEY PODIATRY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "GENSHEIMER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "585-586-6100",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.

Verify at the official NPI Registry.