Organization Active NPI

Podiatry Associates of Jamestown

  • Foot & Ankle Surgery Podiatrist
  • Jamestown, NY
National Provider Identifier
1285612762
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PODIATRY ASSOCIATES OF JAMESTOWN
Practice address
844 Fairmount Ave
Jamestown, NY 14701-2520
Phone
(716) 483-2200
Fax
(716) 487-2885
NPI assigned
Jan 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Dr. Anthony T Tuccio, DPM
Title
President
Phone
(716) 483-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X NY Primary

Addresses

Primary practice location

844 Fairmount Ave
Jamestown, NY 14701-2520

Mailing address

844 Fairmount Ave
Jamestown, NY 14701-2520
Phone (716) 483-2200

Other identifiers 4

IdentifierTypeStateIssuer
01735464MedicaidNY
0065865000OtherPABLUE CROSS PERSONAL CHOIC
185236OtherPABLUE CROSS OF PA
0010132000003MedicaidPA

National Provider Directory

National Provider Directory

Locations

844 Fairmount Ave
Jamestown, NY 14701
Phone (716) 483-2200

73 Market St
Warren, PA 16365
Phone (814) 726-3668

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1285612762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012520",
            "telephone_number": "716-483-2200",
            "fax_number": "716-487-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012520",
            "telephone_number": "716-483-2200",
            "fax_number": "716-487-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF JAMESTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "TUCCIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-483-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01735464",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PERSONAL CHOIC",
            "identifier": "0065865000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF PA",
            "identifier": "185236",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010132000003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.