Organization Active NPI

New Century Podiatry, PC

  • Podiatrist
  • Watertown, NY
National Provider Identifier
1922046366
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NEW CENTURY PODIATRY, PC
Practice address
21017 Nys Rte 12F
Watertown, NY 13601-4999
Phone
(315) 785-3668
Fax
(315) 779-2090
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Dr. James P Pelletier, DPMNPI 1508806480
Title
President
Phone
(315) 785-3668

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

21017 Nys Rte 12F
Watertown, NY 13601-4999

Mailing address

21017 Nys Rte 12F
Watertown, NY 13601-4999
Phone (315) 785-3668

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050406000076 NY Part B Supplier - Clinic/Group Practice 1951358530 Receives reassigned benefits from 1 practitioner
Practice locations: Watertown, NY

National Provider Directory

National Provider Directory

Locations

21017 State Route 12F
Ste 1
Watertown, NY 13601
Phone (315) 244-2591

18564 US Route 11
Ste 1
Watertown, NY 13601
Phone (315) 785-3668

Practitioners & affiliated clinicians

Practitioners 2

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1922046366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21017 NYS RTE 12F",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014999",
            "telephone_number": "315-785-3668",
            "fax_number": "315-779-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21017 NYS RTE 12F",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014999",
            "telephone_number": "315-785-3668",
            "fax_number": "315-779-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CENTURY PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-785-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.