Orchard Park Podiatry PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

N002646 Issued in NY

Legal business name

ORCHARD PARK PODIATRY PLLC

Practice address

3671 Southwestern Blvd
Suite 213
Orchard Park, NY 14127-1752

Phone

(716) 667-2601

Fax

(716) 667-0089

NPI assigned

Jan 29, 2008

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A Devincentis, DPM

Title

Owner

Phone

(716) 667-2601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1437336732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 SOUTHWESTERN BLVD",
            "address_2": "SUITE 213",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271752",
            "telephone_number": "716-667-2601",
            "fax_number": "716-667-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 SOUTHWESTERN BLVD",
            "address_2": "SUITE 213",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271752",
            "telephone_number": "716-667-2601",
            "fax_number": "716-667-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD PARK PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "DEVINCENTIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-667-2601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N002646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orchard Park Fire District - EMS Inc
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• Orchard Park Pediatrics, PC
• Orchard Park Physical Therapy and Chiropractic, PLLC
• Orchard Park Podiatry PLLC
• Orchard Park Prosthodontics LLP
• Kim A Orfffeo, RN
• Julianne Orr
• Christina Hall Ort, SLP
• Lance F. Ortman, DDS

• Durable Medical Equipment & Medical Supplies in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.