Active NPI
Finger Lakes Podiatry of Geneva, PLLC
- Foot & Ankle Surgery Podiatrist
- Victor, NY
National Provider Identifier
1891393906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- FINGER LAKES PODIATRY OF GENEVA, PLLC
- Practice address
- 1331 E. Victor Rd
Victor, NY 14564-9306 - Phone
- (585) 742-3777
- Fax
- (585) 742-3785
- NPI assigned
- Oct 12, 2020
- Last updated
- May 9, 2022
- 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
- Lawrence Larussa, DPM
- Title
- Owner
- Phone
- (315) 789-8132
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1331 E. Victor Rd
Victor, NY 14564-9306
Mailing address
650 Pre Emption Rd
Geneva, NY 14456-1334
Phone (315) 789-8132
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Foot & Ankle Surgery Podiatrist
- Geneva, NY
- NPI 1669812335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652054400000",
"number": "1891393906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 PRE EMPTION RD",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561334",
"telephone_number": "315-789-8132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 E. VICTOR RD",
"city": "VICTOR",
"state": "NY",
"postal_code": "145649306",
"telephone_number": "585-742-3777",
"fax_number": "585-742-3785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FINGER LAKES PODIATRY OF GENEVA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-12",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A",
"authorized_official_last_name": "LARUSSA",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-789-8132",
"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 Victor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.