Organization Active NPI

Capital District Podiatry, PLLC

  • Podiatrist
  • Clifton Park, NY
National Provider Identifier
1699435883
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CAPITAL DISTRICT PODIATRY, PLLC
Practice address
855 Route 146 BLDG B
Clifton Park, NY 12065-3885
Phone
(518) 982-1065
Fax
(518) 271-2052
NPI assigned
Dec 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Tejas Ramesh Pandya, DPMNPI 1336347103
Title
Owner
Phone
(518) 273-0053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

855 Route 146 BLDG B
Clifton Park, NY 12065-3885

Mailing address

763 Hoosick Rd
Troy, NY 12180-6666
Phone (518) 273-0053

National Provider Directory

National Provider Directory

Locations

855 Route 146
#B
Clifton Park, NY 12065
Phone (518) 982-1065

855 Route 146
Bldg B
Clifton Park, NY 12065
Phone (518) 373-4580

1 Tallow Wood Dr
Ste 7
Clifton Park, NY 12065
Phone (518) 273-0053

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1699435883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806666",
            "telephone_number": "518-273-0053",
            "fax_number": "518-271-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146 BLDG B",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653885",
            "telephone_number": "518-982-1065",
            "fax_number": "518-271-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DISTRICT PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_middle_name": "RAMESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-273-0053",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.