Active NPI
Joseph T Perillo D P M
- Foot & Ankle Surgery Podiatrist
- Geneva, NY
National Provider Identifier
1497704159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- JOSEPH T PERILLO D P M
- Practice address
- 650 Pre Emption Rd
Geneva, NY 14456 - Phone
- (315) 789-8132
- Fax
- (315) 789-8136
- NPI assigned
- May 9, 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
- Dr. Joseph Kyle Perillo, DPM
- Title
- Owner
- Phone
- (315) 789-8132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NY | Primary |
Addresses
Primary practice location
650 Pre Emption Rd
Geneva, NY 14456
Mailing address
650 Pre Emption Rd
Geneva, NY 14456-1334
Phone (315) 789-8132
Other names 1
- Finger Lakes Podiatry
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2296099 | Finger Lakes Podiatry - FLH Medical PC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552435200000",
"number": "1497704159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 PRE EMPTION RD",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561334",
"telephone_number": "315-789-8132",
"fax_number": "315-789-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 PRE EMPTION RD",
"city": "GENEVA",
"state": "NY",
"postal_code": "14456",
"telephone_number": "315-789-8132",
"fax_number": "315-789-8136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH T PERILLO D P M",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2019-03-13",
"status": "A",
"authorized_official_last_name": "PERILLO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-789-8132",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Finger Lakes Podiatry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Finger Lakes Podiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Geneva, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.