Active NPI
Robert J Magiera, DPM
- Podiatrist
- Canandaigua, NY
National Provider Identifier
1497857536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N0002817
- Practice address
- 117 North Main St
Canandaigua, NY 14424-1924 - Phone
- (585) 394-0341
- Fax
- (585) 394-0341
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N0002817 | NY | Primary |
Addresses
Primary practice location
117 North Main St
Canandaigua, NY 14424-1924
Mailing address
117 North Main St
Canandaigua, NY 14424-1924
Phone (585) 394-0341
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00484322 | Medicaid | NY | |
| 8085 | Other | NY | EXCELLIS BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0002817 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497857536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 NORTH MAIN ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241924",
"telephone_number": "585-394-0341",
"fax_number": "585-394-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 NORTH MAIN ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241924",
"telephone_number": "585-394-0341",
"fax_number": "585-394-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGIERA",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N0002817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00484322",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLIS BS",
"identifier": "8085",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.