Active NPI
Podiatry Associates of Jamestown
- Foot & Ankle Surgery Podiatrist
- Jamestown, NY
National Provider Identifier
1285612762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01735464 | Medicaid | NY | |
| 0065865000 | Other | PA | BLUE CROSS PERSONAL CHOIC |
| 185236 | Other | PA | BLUE CROSS OF PA |
| 0010132000003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.