Organization Active NPI

Podiatry Affiliates, PC

  • Podiatrist
  • Amherst, NY
National Provider Identifier
1073604948
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N 2721 Issued in NY
Legal business name
PODIATRY AFFILIATES, PC
Practice address
3980 Sheridan Dr
Suite 308
Amherst, NY 14226-1727
Phone
(716) 839-3930
Fax
(716) 839-2667
NPI assigned
Sep 27, 2006
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Kenneth T. Goldstein, D.P.M.
Title
Sec./Treas.
Phone
(716) 839-3930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N 2721 NY Primary

Addresses

Primary practice location

3980 Sheridan Dr
Suite 308
Amherst, NY 14226-1727

Mailing address

3980 Sheridan Dr
Suite 308
Amherst, NY 14226-1727
Phone (716) 839-3930

National Provider Directory

National Provider Directory

Locations

3980 Sheridan Dr
#308
Amherst, NY 14226
Phone (716) 839-3930

3980 Sheridan Dr
Ste 308
Buffalo, NY 14226
Phone (716) 839-3930

7060 Erie Rd
Ste 400
Derby, NY 14047
Phone (716) 839-3930

6325 Main St
Ste 200
Williamsville, NY 14221
Phone (716) 630-1295

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1073604948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "address_2": "SUITE 308",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-839-3930",
            "fax_number": "716-839-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "address_2": "SUITE 308",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-839-3930",
            "fax_number": "716-839-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY AFFILIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SEC./TREAS.",
        "authorized_official_telephone_number": "716-839-3930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N 2721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.