Individual provider Active NPI

Joseph R Canzoneri, DPM

  • Podiatrist
  • Batavia, NY
National Provider Identifier
1255309902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0004862 Issued in NY
Practice address
2 State St
Batavia, NY 14020-2132
Phone
(585) 343-8150
Fax
(585) 343-1768
NPI assigned
Mar 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0004862 NY Primary

Addresses

Primary practice location

2 State St
Batavia, NY 14020-2132

Mailing address

2 State St
Batavia, NY 14020-2132
Phone (585) 343-8150

Other identifiers 9

IdentifierTypeStateIssuer
8990359OtherNYINDEPENDENT HEALTH
P020004862OtherNYBCBS OF ROCHESTER
20-3146947OtherNYTAX ID #
480011943OtherNYRAILROAD MEDICARE
P010004862OtherNYBLUE CHOICE
00010250902OtherNYUNIVERA
000511401006OtherNYBCBS OF WNY
101977EQOtherNYPREFERRED CARE
5507080001OtherNYDMERC REGION A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000528 NY Practitioner - Podiatry 8426089491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians
Advanced Podiatry Associates PLLCGroup PAC ID 6901837970, 2 clinicians

Practice addresses (Care Compare)

127 N St
Batavia, NY 14020-1631

2 State St
Batavia, NY 14020-2132
Phone (585) 343-8150

229 Summit St
Batavia, NY 14020-1645

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue821
Removal of skin lesions1-10
Removal of nail tissue92
Removal or shaving of skin growth47
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004862NYMDAcupuncturist
N0004862NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans Community Health CurrentSince Mar 4, 2020 Accepting new patients
Orleans Community Health CurrentSince Mar 4, 2020 Accepting new patients
United Memorial Medical Center Current Accepting new patients

Locations

127 North St
Batavia, NY 14020
Phone (585) 267-7510

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

Interoperability endpoints

  • Direct secure messaging: jcanzoneri135969@direct.rochesterregional.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255309902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STATE ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202132",
            "telephone_number": "585-343-8150",
            "fax_number": "585-343-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STATE ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202132",
            "telephone_number": "585-343-8150",
            "fax_number": "585-343-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANZONERI",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0004862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8990359",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ROCHESTER",
            "identifier": "P020004862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "20-3146947",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480011943",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010004862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010250902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WNY",
            "identifier": "000511401006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101977EQ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION A",
            "identifier": "5507080001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.