Organization Active NPI

Cny Foot Surgery & Podiatry Care, PC

  • Foot Surgery Podiatrist
  • East Syracuse, NY
National Provider Identifier
1063405850
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005690 Issued in NY
Legal business name
CNY FOOT SURGERY & PODIATRY CARE, PC
Practice address
6700 Kirkville Rd
Suite 202
East Syracuse, NY 13057-9305
Phone
(315) 701-2929
NPI assigned
Aug 26, 2005
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Dr. William M Dutch, DPMNPI 1689666331
Title
Medical Director of Operations
Phone
(315) 701-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005690 NY Primary

Addresses

Primary practice location

6700 Kirkville Rd
Suite 202
East Syracuse, NY 13057-9305

Mailing address

6700 Kirkville Rd # C-202
East Syracuse, NY 13057-9305
Phone (316) 701-2929

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040330000160 NY Part B Supplier - Clinic/Group Practice 1951293216 Receives reassigned benefits from 5 practitioners
Practice locations: East Syracuse, NY
O20100930061969 NY DME Supplier - Physician - Podiatry 1951293216 Practice locations: East Syracuse, NY

National Provider Directory

National Provider Directory

Locations

6700 Kirkville Rd
#C202
East Syracuse, NY 13057
Phone (315) 701-2929

6700 Kirkville Rd
Ste 202
East Syracuse, NY 13057
Phone (315) 701-1515

6700 Kirkville Rd
Ste 202C
East Syracuse, NY 13057

6700 Kirkville Rd
Ste C202
East Syracuse, NY 13057
Phone (315) 701-2929

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": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1063405850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD # C-202",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579305",
            "telephone_number": "316-701-2929",
            "fax_number": "315-701-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD",
            "address_2": "SUITE 202",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579305",
            "telephone_number": "315-701-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY FOOT SURGERY & PODIATRY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "DUTCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "315-701-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.