Westchester Podiatric Surgical, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

WESTCHESTER PODIATRIC SURGICAL, PC

Practice address

465 Columbus Ave Ste 140
Valhalla, NY 10595-1376

Phone

(866) 332-7691

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Fred Joseph Delucia, DPMNPI 1225299175

Title

President

Phone

(914) 290-6360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Delucia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Valhalla, NY
  • NPI 1225299175

  Sports Medicine

  NPD Authorized official
• Pooja Shah, DPM

  • Foot & Ankle Surgery Podiatrist
  • New Hyde Park, NY
  • NPI 1821520933
  NPD

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1972254522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 COLUMBUS AVE STE 140",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 COLUMBUS AVE STE 140",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951376",
            "telephone_number": "866-332-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER PODIATRIC SURGICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DELUCIA",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-290-6360",
        "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": []
}

• Westchester Medical Center Advanced Physician Services, PC
• Westchester Medical Center Advanced Physician Services, PC
• Westchester Medical Center, Valhalla Ny 10595
• Westchester Medicine Faculty Associates, PLLC
• Westchester Oral and Maxillofacial Surgery, PC
• Westchester Radiation Medicine, PC
• Westchester Surgical Associates, PLLC
• Westerchester Medical Center
• Charles White Jr., MD
• Tobias C Whitford, MD

• Foot & Ankle Surgery Podiatrist in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.