Active NPI
Northtown Podiatry Group PC
- Podiatrist
- Buffalo, NY
National Provider Identifier
1447277280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- NORTHTOWN PODIATRY GROUP PC
- Practice address
- 2121 Main St
Suite 214
Buffalo, NY 14214-2693 - Phone
- (716) 838-2983
- Fax
- (716) 838-2942
- NPI assigned
- Jul 17, 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
- Sean E Keating, DPM
- Title
- President
- Phone
- (716) 838-2983
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
2121 Main St
Suite 214
Buffalo, NY 14214-2693
Mailing address
2121 Main St
Suite 214
Buffalo, NY 14214-2693
Phone (716) 838-2983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1499938 | Other | NY | GHI |
| 01001743 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
2121 Main St
Ste 106
Buffalo, NY 14214
Phone (716) 833-8993
9600 Main St
Ste 2
Clarence, NY 14031
Phone (716) 759-2004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447277280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 MAIN ST",
"address_2": "SUITE 214",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142693",
"telephone_number": "716-838-2983",
"fax_number": "716-838-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MAIN ST",
"address_2": "SUITE 214",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142693",
"telephone_number": "716-838-2983",
"fax_number": "716-838-2942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHTOWN PODIATRY GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KEATING",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-838-2983",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1499938",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01001743",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.