Devincentis,DPM-Devincentis,DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N002275-1 Issued in NY

Legal business name

DEVINCENTIS,DPM-DEVINCENTIS,DPM

Practice address

4200 N Buffalo Rd
Orchard Park, NY 14127-2415

Phone

(716) 662-1003

Fax

(716) 667-1315

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Francis Devincentis Sr., DPM

Title

President

Phone

(716) 662-1003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1225297773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N BUFFALO RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272415",
            "telephone_number": "716-662-1003",
            "fax_number": "716-667-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N BUFFALO RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272415",
            "telephone_number": "716-662-1003",
            "fax_number": "716-667-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINCENTIS,DPM-DEVINCENTIS,DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DEVINCENTIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-662-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002275-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MAC JURISDICTION A",
            "identifier": "0924440002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Depalma Jr., PT
• Jessica Nicole Depasquale, C.O.T.A.
• Laura Depasquale
• Allan Depew
• Linda Deuell, OT
• Alyssa Marie Dewes
• Albert Jose Diaz-Ordaz, MD
• Teale Lynn Didomenico
• Nathan Diegelman, PH.D.
• Carolyn Diercksen

• Podiatrist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.