Organization Active NPI

Fauler Podiatry

  • Podiatric Clinic/Center
  • Troy, NY
National Provider Identifier
1508744335
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
FAULER PODIATRY
Doing business as
COLLAR CITY PODIATRY
Practice address
2 New Hampshire Ave BSMT Suite
Troy, NY 12180-1764
Phone
(518) 272-8637
Fax
(518) 274-2879
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Brenda Roberts-Boyd
Title
Office Manager
Phone
(518) 272-8637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

2 New Hampshire Ave BSMT Suite
Troy, NY 12180-1764

Mailing address

2 New Hampshire Ave BSMT Suite
Troy, NY 12180-1764
Phone (518) 272-8637

Other names 1

  • COLLAR CITY PODIATRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250915000328 NY DME Supplier - Physician - Podiatry 8325541352 Practice locations: Troy, NY
O20250929000161 NY Part B Supplier - Clinic/Group Practice 8325541352 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, NY

National Provider Directory

National Provider Directory
Tax ID family
Fauler Podiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 New Hampshire Ave
Bsmt
Troy, NY 12180
Phone (518) 272-8637

Practitioners & affiliated clinicians

Practitioners 2

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": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1508744335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NEW HAMPSHIRE AVE BSMT SUITE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801764",
            "telephone_number": "518-272-8637",
            "fax_number": "518-274-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NEW HAMPSHIRE AVE BSMT SUITE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801764",
            "telephone_number": "518-272-8637",
            "fax_number": "518-274-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAULER PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "ROBERTS-BOYD",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-272-8637"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLAR CITY PODIATRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COLLAR CITY PODIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.