Organization Active NPI

Rye Footcare PC

  • Foot & Ankle Surgery Podiatrist
  • Rye, NY
National Provider Identifier
1801210760
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
NOO5334 Issued in NY
Legal business name
RYE FOOTCARE PC
Practice address
150 Purchase Street
Suite 5
Rye, NY 10580-2142
Phone
(914) 921-1668
Fax
(914) 967-5887
NPI assigned
Feb 13, 2014
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Fiona Connolly, DPMNPI 1144223314
Title
Owner
Phone
(914) 921-1668

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NOO5334 NY Primary

Addresses

Primary practice location

150 Purchase Street
Suite 5
Rye, NY 10580-2142

Mailing address

150 Purchase Street
Suite 5
Rye, NY 10580-2142
Phone (914) 921-1668

Other practice location 1

28 Front St # J
Millbrook, NY 12545-5948
Phone (845) 677-3363

Other identifiers 1

IdentifierTypeStateIssuer
01897910MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140915000570 NY Part B Supplier - Clinic/Group Practice 2163641788 Receives reassigned benefits from 1 practitioner
Practice locations: Millbrook, NY; Rye, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1801210760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PURCHASE STREET",
            "address_2": "SUITE 5",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802142",
            "telephone_number": "914-921-1668",
            "fax_number": "914-967-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PURCHASE STREET",
            "address_2": "SUITE 5",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802142",
            "telephone_number": "914-921-1668",
            "fax_number": "914-967-5887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Front St # J",
            "address_purpose": "LOCATION",
            "city": "Millbrook",
            "state": "NY",
            "postal_code": "125455948",
            "country_code": "US",
            "telephone_number": "845-677-3363",
            "fax_number": "845-677-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RYE FOOTCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "FIONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-921-1668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "NOO5334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01897910",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.

Verify at the official NPI Registry.