Active NPI
Capital District Podiatry, PLLC
- Podiatrist
- Clifton Park, NY
National Provider Identifier
1851580138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N005891-2
- Legal business name
- CAPITAL DISTRICT PODIATRY, PLLC
- Practice address
- 1 Tallow Wood Dr
Suite 7
Clifton Park, NY 12065-2807 - Phone
- (518) 273-0053
- Fax
- (518) 271-2052
- NPI assigned
- Oct 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tejas R Pandya, D.P.M.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N005891-2 | NY | Primary |
Addresses
Primary practice location
1 Tallow Wood Dr
Suite 7
Clifton Park, NY 12065-2807
Mailing address
PO Box 1077
Clifton Park, NY 12065-0803
Phone (518) 273-0053
National Provider Directory
National Provider Directory- Tax ID family
- Capital District Podiatry PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Troy, NY
- NPI 1801980016
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Troy, NY
- NPI 1336347103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640649600000",
"number": "1851580138",
"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": "518-271-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TALLOW WOOD DR",
"address_2": "SUITE 7",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120652807",
"telephone_number": "518-273-0053",
"fax_number": "518-271-2052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL DISTRICT PODIATRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-23",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A",
"authorized_official_last_name": "PANDYA",
"authorized_official_first_name": "TEJAS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-273-0053",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NY",
"license": "N005891-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
- Bianca A Cannavo
- Tracee M Canterino, MSPT
- Kendra Lynn Canton, LMT C-MLD
- Capital District Podiatry PLLC
- Capital District Podiatry, PLLC
- Capital Region Otolaryngology Head & Neck Group
- Capital Region Speech & Swallowing(SLP), P.C.
- Capital Thoracic Surgery, P.C.
- Captain Community Human Services, Inc.
- Tracey M Carbonetto, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.