Organization Active NPI

Cayuga Foot Care

  • Podiatric Clinic/Center
  • Ithaca, NY
National Provider Identifier
1093070161
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
CAYUGA FOOT CARE
Practice address
207 N Geneva St
Ithaca, NY 14850-4135
Phone
(607) 272-2610
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Mr. Nicholas James Frisk, D.C.S.
Title
Manager
Phone
(607) 272-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

207 N Geneva St
Ithaca, NY 14850-4135

Mailing address

207 N Geneva St
Ithaca, NY 14850-4135
Phone (607) 272-2610

Other identifiers 1

IdentifierTypeStateIssuer
02916567MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1093070161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N GENEVA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504135",
            "telephone_number": "607-272-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N GENEVA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504135",
            "telephone_number": "607-272-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYUGA FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "FRISK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "607-272-2610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C.S."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02916567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.