Organization Active NPI

Charles F Coyle Jr DPM

  • Foot Surgery Podiatrist
  • Rochester, NY
National Provider Identifier
1659542652
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N002374 Issued in NY
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

Updated by the provider on Mar 18, 2008

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00418204MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.