Individual provider Active NPI

Suzi Campanaro, DPM

  • Primary Podiatric Medicine Podiatrist
  • Liverpool, NY
National Provider Identifier
1407854813
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
NO4328 Issued in NY
Practice address
4955 W Taft Rd
Liverpool, NY 13088-4811
Phone
(315) 457-0254
Fax
(315) 234-7455
NPI assigned
Jul 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X NO4328 NY Primary

Addresses

Primary practice location

4955 W Taft Rd
Liverpool, NY 13088-4811

Mailing address

4955 W Taft Rd
Liverpool, NY 13088-4811
Phone (315) 457-0254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NO4328NYMDPrimary Podiatric Medicine Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407854813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884811",
            "telephone_number": "315-457-0254",
            "fax_number": "315-234-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884811",
            "telephone_number": "315-457-0254",
            "fax_number": "315-234-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANARO",
        "first_name": "SUZI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "NO4328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.