Active NPI
The Foot & Ankle Podiatry,PC
- Foot & Ankle Surgery Podiatrist
- Tonawanda, NY
National Provider Identifier
1073650958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N004057-1
- Legal business name
- THE FOOT & ANKLE PODIATRY,PC
- Practice address
- 929 Brighton Rd
Tonawanda, NY 14150-8113 - Phone
- (716) 837-1500
- Fax
- (716) 837-0799
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louis Aquino, D.P.M.
- Title
- President
- Phone
- (716) 837-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N004057-1 | NY | Primary |
Addresses
Primary practice location
929 Brighton Rd
Tonawanda, NY 14150-8113
Mailing address
929 Brighton Rd
Tonawanda, NY 14150-8113
Phone (716) 837-1500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010250603 | Other | NY | UNIVERA |
| 050110000152 | Medicaid | NY | |
| 000500064002 | Other | NY | BLUE CROSS-BLUE SHIELD |
National Provider Directory
National Provider Directory- Tax ID family
- The Foot and Ankle Podiatry PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Tonawanda, NY
- NPI 1629255328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073650958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 BRIGHTON RD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141508113",
"telephone_number": "716-837-1500",
"fax_number": "716-837-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 BRIGHTON RD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141508113",
"telephone_number": "716-837-1500",
"fax_number": "716-837-0799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FOOT & ANKLE PODIATRY,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AQUINO",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-837-1500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N004057-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "0010250603",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050110000152",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE SHIELD",
"identifier": "000500064002",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.