Podiatry Services of Ithaca P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N005881 Issued in NY

Legal business name

PODIATRY SERVICES OF ITHACA P.C.

Practice address

2255 N Triphammer Rd
Ithaca, NY 14850-1576

Phone

(607) 257-8877

Fax

(607) 257-8879

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Victor O Villagonzalo, DPMNPI 1326027426

Title

Podiatrist

Phone

(607) 257-8877

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Villagonzalo, DPM

  • Podiatrist
  • Ithaca, NY
  • NPI 1326027426
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1447419155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501576",
            "telephone_number": "607-257-8877",
            "fax_number": "607-257-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501576",
            "telephone_number": "607-257-8877",
            "fax_number": "607-257-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY SERVICES OF ITHACA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "VILLAGONZALO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "607-257-8877",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03034237",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARC",
            "identifier": "3130290001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02862408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of the Southern Finger Lakes Inc.
• Barbara Platek, LMHC
• Elizabeth F Plocharczyk, MD
• Dawn Plue
• Lynn Podhaski, MA, MHC
• Margo Lane Polikoff, R.N.
• Roman Gabriel Politi, MD
• Rachele A. Pollack, LCSW-R, CASAC
• Gabrielle Pompo
• Tori Ponder-Brown, LMT

• Foot Surgery Podiatrist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.