Organization Active NPI

Advanced Podiatry Associates, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Batavia, NY
National Provider Identifier
1629158902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N004862 Issued in NY
Legal business name
ADVANCED PODIATRY ASSOCIATES, PLLC
Practice address
2 State St
Batavia, NY 14020-2132
Phone
(585) 343-8150
Fax
(585) 343-1768
NPI assigned
Oct 17, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Vicki L Monckton
Title
Office Manager
Phone
(585) 343-8150

Practitioners 4

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050830000229 NY Part B Supplier - Clinic/Group Practice 6901837970 Receives reassigned benefits from 2 practitioners
Practice locations: Batavia, NY

National Provider Directory

National Provider Directory

Locations

2 State St
Batavia, NY 14020
Phone (585) 343-8150

4582 Lake Rd S
Brockport, NY 14420
Phone (585) 637-8440

21 Union Hill Dr
Ste F
Spencerport, NY 14559
Phone (585) 349-0440

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X N004862 NY Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 006113 NY

Addresses

NPPES NPI Registry

Primary practice location

2 State St
Batavia, NY 14020-2132

Mailing address

2 State St
Batavia, NY 14020-2132
Phone (585) 343-8150

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
G0186947190OtherNYEXCELLUS BC GROUP NUMBER
5507080001OtherNYDMERC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629158902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STATE ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202132",
            "telephone_number": "585-343-8150",
            "fax_number": "585-343-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STATE ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202132",
            "telephone_number": "585-343-8150",
            "fax_number": "585-343-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PODIATRY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONCKTON",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-343-8150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004862",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BC GROUP NUMBER",
            "identifier": "G0186947190",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5507080001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.