NPIMap

Organization Active NPI

Northtown Podiatry Group PC

  • Durable Medical Equipment & Medical Supplies
  • Clarence, NY
National Provider Identifier
1508082223
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHTOWN PODIATRY GROUP PC
Practice address
9600 Main St
Clarence, NY 14031-2002
Phone
(716) 759-2004
Fax
(716) 759-2009
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Sean Keating, DPMNPI 1457372161
Title
President
Phone
(716) 759-2004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY Primary

Addresses

Primary practice location

9600 Main St
Clarence, NY 14031-2002

Mailing address

9600 Main St
Clarence, NY 14031-2002
Phone (716) 759-2004

National Provider Directory

National Provider Directory

Locations

9600 Main St
Clarence, NY 14031
Phone (716) 759-2004

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1508082223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312002",
            "telephone_number": "716-759-2004",
            "fax_number": "716-759-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312002",
            "telephone_number": "716-759-2004",
            "fax_number": "716-759-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHTOWN PODIATRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-759-2004",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.