Organization Active NPI

Podiatry Associates of Rochester, LLP

  • Podiatrist
  • Rochester, NY
National Provider Identifier
1053786574
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY ASSOCIATES OF ROCHESTER, LLP
Practice address
360 Linden Oaks
Suite 120
Rochester, NY 14625-2814
Phone
(585) 371-8600
Fax
(585) 342-4159
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Dr. Michael L Giordano, DPM
Title
Partner
Phone
(585) 371-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X NY Primary

Addresses

Primary practice location

360 Linden Oaks
Suite 120
Rochester, NY 14625-2814

Mailing address

1255 Portland Ave
Rochester, NY 14621-2713
Phone (585) 342-8700

Other identifiers 1

IdentifierTypeStateIssuer
03208335MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Associates of Rochester3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1053786574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212713",
            "telephone_number": "585-342-8700",
            "fax_number": "585-342-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS",
            "address_2": "SUITE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-371-8600",
            "fax_number": "585-342-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF ROCHESTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "GIORDANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "585-371-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03208335",
            "state": "NY"
        }
    ],
    "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 Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.