Organization Active NPI

Foot Doctors of Utica, P.C.

  • Podiatrist
  • Utica, NY
National Provider Identifier
1225211014
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT DOCTORS OF UTICA, P.C.
Practice address
6 Business Park CT
Utica, NY 13502-6309
Phone
(315) 793-3668
Fax
(315) 793-3691
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Daniel G. Herbowy, DPM
Title
Physician
Phone
(315) 793-3668

Specialties & licenses 1

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

Addresses

Primary practice location

6 Business Park CT
Utica, NY 13502-6309

Mailing address

6 Business Park CT
Utica, NY 13502-6309
Phone (315) 793-3668

Other identifiers 1

IdentifierTypeStateIssuer
03046682MedicaidNY

Other names 1

  • Daniel Herbowy, DPM Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080519000395 NY Part B Supplier - Clinic/Group Practice 9830268739 Receives reassigned benefits from 2 practitioners
Practice locations: Middleville, NY; Mohawk, NY; New Hartford, NY; Oriskany, NY; Richfield Springs, NY; Rome, NY; Utica, NY; Herkimer, NY…
O20100930068097 NY DME Supplier - Physician - Podiatry 9830268739 Practice locations: New Hartford, NY

National Provider Directory

National Provider Directory

Locations

6 Business Park Ct
Utica, NY 13502
Phone (315) 624-9082

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1225211014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026309",
            "telephone_number": "315-793-3668",
            "fax_number": "315-793-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026309",
            "telephone_number": "315-793-3668",
            "fax_number": "315-793-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT DOCTORS OF UTICA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "HERBOWY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-793-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03046682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel Herbowy, DPM",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.