Active NPI
Charles F Coyle Jr DPM
- Foot Surgery Podiatrist
- Rochester, NY
National Provider Identifier
1659542652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N002374
- Legal business name
- CHARLES F COYLE JR DPM
- Practice address
- 555 N Winton Rd
Rochester, NY 14610 - Phone
- (585) 654-8910
- Fax
- (585) 654-8922
- NPI assigned
- Mar 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles F Coyle Jr., DPM
- Title
- Owner Podiatrist
- Phone
- (585) 654-8910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N002374 | NY | Primary |
Addresses
Primary practice location
555 N Winton Rd
Rochester, NY 14610
Mailing address
555 N Winton Rd
Rochester, NY 14610
Phone (585) 654-8910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00418204 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
555 N Winton Rd
Rochester, NY 14610
Phone (585) 586-6524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1659542652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N WINTON RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14610",
"telephone_number": "585-654-8910",
"fax_number": "585-654-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N WINTON RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14610",
"telephone_number": "585-654-8910",
"fax_number": "585-654-8922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES F COYLE JR DPM",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "COYLE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER PODIATRIST",
"authorized_official_telephone_number": "585-654-8910",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N002374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00418204",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.