Capital District Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CAPITAL DISTRICT PODIATRY PLLC

Practice address

855 Route 146 BLDG B
Clifton Park, NY 12065-3885

Phone

(518) 982-1065

Fax

(518) 271-2052

NPI assigned

Mar 30, 2020

Organization subpart

No

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

Authorized official

Name

Tejas Pandya, MDNPI 1336347103

Title

Owner

Phone

(518) 982-1065

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tejas Ramesh Pandya, DPM

  • Podiatrist
  • Troy, NY
  • NPI 1336347103
  NPD Authorized official

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1528696259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 HOOSICK STREET",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806646",
            "telephone_number": "518-273-0053",
            "fax_number": "518-271-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146 BLDG B",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653885",
            "telephone_number": "518-982-1065",
            "fax_number": "518-271-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DISTRICT PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-982-1065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janay Campbell, LMHC
• Roberta Lynn Canavan, FNP
• Bianca A Cannavo
• Tracee M Canterino, MSPT
• Kendra Lynn Canton, LMT C-MLD
• Capital District Podiatry, PLLC
• Capital District Podiatry, PLLC
• Capital Region Otolaryngology Head & Neck Group
• Capital Region Speech & Swallowing(SLP), P.C.
• Capital Thoracic Surgery, P.C.

• Foot & Ankle Surgery Podiatrist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.