Ithaca Podiatry Associates

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

N005805 Issued in NY

Legal business name

ITHACA PODIATRY ASSOCIATES

Practice address

2333 N Triphammer Rd
Suite 202
Ithaca, NY 14850-1082

Phone

(607) 257-7700

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Jeffrey Kadlecik XNPI 1235224494

Title

Owner

Phone

(607) 257-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jeffrey P Kadlecik, D.P.M.

  • Foot Surgery Podiatrist
  • Ithaca, NY
  • NPI 1235224494
  NPD (past) Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1063683142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 N TRIPHAMMER RD",
            "address_2": "SUITE 202",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N TRIPHAMMER RD",
            "address_2": "SUITE 202",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501082",
            "telephone_number": "607-257-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITHACA PODIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KADLECIK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-257-7700",
        "authorized_official_name_suffix": "X"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "N005805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02195908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ithaca Medical Group, PLLC
• Ithaca Medical Services PLLC
• Ithaca Orthopaedic Group, PC
• Ithaca Outpatient Clinic
• Ithaca Palliative Medicine, LLC
• Ithaca Sterling Cottage Operator, Inc.
• Ithaca Therapy Works, SLP, OT, PLLC
• Ithaca Urology PLLC
• Alisson Daniela Iturburu Altamirano, M.D.
• William Roy Ives

• Prosthetic/Orthotic Supplier in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.