Organization Active NPI

Tarrytown Podiatry, PC

  • Foot & Ankle Surgery Podiatrist
  • Tarrytown, NY
National Provider Identifier
1821267865
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
TARRYTOWN PODIATRY, PC
Practice address
1 Central Ave
Suite 301
Tarrytown, NY 10591-3350
Phone
(914) 631-3166
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Susan Marie Rice, DPMNPI 1740254234
Title
Owner
Phone
(914) 631-3166

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1 Central Ave
Suite 301
Tarrytown, NY 10591-3350

Mailing address

1 Central Ave
Suite 301
Tarrytown, NY 10591-3350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110525000211 NY Part B Supplier - Clinic/Group Practice 0345426466 Receives reassigned benefits from 1 practitioner
Practice locations: Tarrytown, NY

National Provider Directory

National Provider Directory

Locations

1 Central Ave
Ste 301
Tarrytown, NY 10591
Phone (631) 676-9300

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": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1821267865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTRAL AVE",
            "address_2": "SUITE 301",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTRAL AVE",
            "address_2": "SUITE 301",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913350",
            "telephone_number": "914-631-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRYTOWN PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-631-3166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.