Active NPI
Advanced Podiatry Associates, PLLC
- Foot & Ankle Surgery Podiatrist
- Batavia, NY
National Provider Identifier
1629158902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N004862
- 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.
-
- Podiatrist
- Brockport, NY
- NPI 1295702231
-
- Foot Surgery Podiatrist
- Buffalo, NY
- NPI 1710970108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050830000229 | NY | Part B Supplier - Clinic/Group Practice | 6901837970 |
Receives reassigned benefits from 2 practitioners Practice locations: Batavia, NY |
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N004862 | NY | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 006113 | NY |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| G0186947190 | Other | NY | EXCELLUS BC GROUP NUMBER |
| 5507080001 | Other | NY | DMERC |
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.