Laura Fernandez Rivas, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N007164 Issued in NY

Practice address

514 S Bay Rd
North Syracuse, NY 13212-3627

Phone

(315) 458-1777

NPI assigned

Apr 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Podiatry Services of Central New York P C

  • Foot & Ankle Surgery Podiatrist
  • North Syracuse, NY
  • NPI 1851435770
  Medicare reassignment NPD
• John H Susz DPM, PC

  • Podiatrist
  • Russell, PA
  • NPI 1073754388

  NY

  Medicare reassignment NPD
• Podiatry Services of Central New York, PC

  • Foot & Ankle Surgery Podiatrist
  • Fayetteville, NY
  • NPI 1477201176
  NPD

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1629501689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S BAY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123627",
            "telephone_number": "315-458-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BAY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123627",
            "telephone_number": "315-458-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ RIVAS",
        "first_name": "LAURA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N007164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Plastic and Reconstructive Surgery of Cny PC
• Eyecare Ophthalmology PLLC
• Eyecare Ophthalmology PLLC
• Eronmwon Joy Ezomo, FNP
• Amy Fadden, PHARM.D
• William David Ferraraccio, MD
• Shannon Flatt
• Tracey L Fleming
• Forth Tromblee Dental Association PLLC
• Teri S Forth, DDS

• Podiatrist in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.