Organization Active NPI

Advanced Footcare Center of Rochester

  • Durable Medical Equipment & Medical Supplies
  • Fairport, NY
National Provider Identifier
1285818211
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
003655 Issued in NY
Legal business name
ADVANCED FOOTCARE CENTER OF ROCHESTER
Practice address
2828 Baird Rd
Fairport, NY 14450-1247
Phone
(585) 249-0020
Fax
(585) 586-4835
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Mrs. Jana Faber
Title
Office Manager
Phone
(585) 249-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 003655 NY Primary

Addresses

Primary practice location

2828 Baird Rd
Fairport, NY 14450-1247

Mailing address

2828 Baird Rd
Fairport, NY 14450-1247
Phone (585) 249-0020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1285818211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 BAIRD RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501247",
            "telephone_number": "585-249-0020",
            "fax_number": "585-586-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 BAIRD RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501247",
            "telephone_number": "585-249-0020",
            "fax_number": "585-586-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOTCARE CENTER OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "FABER",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-249-0020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "003655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.