J Kurt Concilla, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003073 Issued in NY

Practice address

3229 E Genesee St
Joslin Center
Syracuse, NY 13214-2016

Phone

(315) 464-5726

Fax

(315) 464-2500

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crouse Medical Practice, PLLC

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1922321934
  NPD (past)
• Genesee Valley Group Health Association

  • Clinic Pharmacy
  • Rochester, NY
  • NPI 1962591875
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1851377907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 E GENESEE ST",
            "address_2": "JOSLIN CENTER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142016",
            "telephone_number": "315-464-5726",
            "fax_number": "315-464-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 E GENESEE ST",
            "address_2": "JOSLIN CENTER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142016",
            "telephone_number": "315-464-5726",
            "fax_number": "315-464-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCILLA",
        "first_name": "J",
        "middle_name": "KURT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01704741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Compeau, MSPT
• Frank W Compolo, MD
• Comprehensive Gynecology, PC
• Comprehensive Imaging Service, PLLC
• Sandra Compton, RN
• Jose Javier Conde
• Jennifer Erin Condon, D.C.
• Michelle Marie Condon, PT
• Nicole Marie Conese, DPT
• Linda L Confer, LCSW

• Podiatrist in Syracuse, NY
• Providers in Syracuse, 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 4, 2014; 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.