Capital District Podiatry, PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005891 Issued in NY

Legal business name

CAPITAL DISTRICT PODIATRY, PLLC

Practice address

763 Hoosick Rd
Troy, NY 12180-6666

Phone

(518) 273-0053

Fax

(518) 271-2025

NPI assigned

Oct 3, 2006

Last updated

Feb 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tejas R Pandya, M.D.NPI 1336347103

Title

MD/Owner

Phone

(518) 273-0053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Capital District Podiatry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Capital District Podiatry, PLLC

  • Podiatrist
  • Clifton Park, NY
  • NPI 1851580138
  NPD tax ID

Locations

Practitioners 1

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.

• Tejas Ramesh Pandya, DPM

  • Podiatrist
  • Troy, NY
  • NPI 1336347103
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1801980016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1077",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120650803",
            "telephone_number": "518-273-0053",
            "fax_number": "518-271-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806666",
            "telephone_number": "518-273-0053",
            "fax_number": "518-271-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DISTRICT PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "518-273-0053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Canfield, LMSW
• Tara Canniff
• Leigh M Cannucciari, LMSW
• Capital Area Hudson Valley New York Dental PC (1st Advantage Dental - Troy)
• Capital District Beginnings, Inc.
• Capital District Surgical Associates, P.L.L.C.
• Capital Eye Care Physicians and Surgeons, PLLC
• Capital Region Midwifery, PLLC
• Capital Region Otolaryngology Head & Neck Group
• Capitol Orthopedic Consultants, P.C.

• Podiatrist in Troy, NY
• Providers in Troy, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.