Organization Active NPI

Joseph T Perillo D P M

  • Foot & Ankle Surgery Podiatrist
  • Geneva, NY
National Provider Identifier
1497704159
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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

Updated by the provider on Mar 13, 2019

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2296099Finger Lakes Podiatry - FLH Medical PC650 Pre-Emption Rd, Geneva, NY 14456Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.