Organization Active NPI

Westside Podiatry Group LLC

  • Primary Podiatric Medicine Podiatrist
  • Rochester, NY
National Provider Identifier
1407703580
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
WESTSIDE PODIATRY GROUP LLC
Practice address
103 Canal Landing Blvd Ste 12
Rochester, NY 14626-5108
Phone
(585) 225-2290
Fax
(585) 225-5323
NPI assigned
Mar 16, 2026
Last updated
Apr 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTSIDE PODIATRY GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Brenda Mangione
Title
Office Manager
Phone
(585) 225-9452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

103 Canal Landing Blvd Ste 12
Rochester, NY 14626-5108

Mailing address

103 Canal Landing Blvd Ste 12
Rochester, NY 14626-5108
Phone (585) 225-2290

National Provider Directory

National Provider Directory
Tax ID family
Westside Podiatry Group3 organizations share this tax ID, including this one
Part of
Westside Podiatry Group

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1407703580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CANAL LANDING BLVD STE 12",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265108",
            "telephone_number": "585-225-2290",
            "fax_number": "585-225-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CANAL LANDING BLVD STE 12",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265108",
            "telephone_number": "585-225-2290",
            "fax_number": "585-225-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PODIATRY GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE PODIATRY GROUP LLC",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "MANGIONE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-225-9452"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.