Organization Active NPI

Podiatry Solutions of Wny

  • Podiatrist
  • Williamsville, NY
National Provider Identifier
1205054442
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
005864 Issued in NY
Legal business name
PODIATRY SOLUTIONS OF WNY
Practice address
15 S Forest Rd
Williamsville, NY 14221-6444
Phone
(716) 634-5993
Fax
(716) 478-0946
NPI assigned
Apr 23, 2007
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Dr. Jason T White, DPMNPI 1376640540
Title
Owner
Phone
(716) 434-6601

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X
Podiatrist 213E00000X 005864 NY Primary

Addresses

Primary practice location

15 S Forest Rd
Williamsville, NY 14221-6444

Mailing address

15 S Forest Rd
Williamsville, NY 14221-6444
Phone (716) 634-5993

Other identifiers 2

IdentifierTypeStateIssuer
000526926002OtherNYBLUE CROSS
00026080003OtherNYUNIVERA

National Provider Directory

National Provider Directory
Tax ID family
Podiatry Solutions of Wny3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6000 Brockton Dr
Ste 102
Lockport, NY 14094
Phone (716) 434-6601

6040 Edward Ave
Newfane, NY 14108
Phone (716) 434-6601

Practitioners & affiliated clinicians

Practitioners 1

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1205054442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216444",
            "telephone_number": "716-634-5993",
            "fax_number": "716-478-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216444",
            "telephone_number": "716-634-5993",
            "fax_number": "716-478-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY SOLUTIONS OF WNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-434-6601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000526926002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026080003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.