Active NPI
Mohawk Valley Podiatry, PC
- Foot & Ankle Surgery Podiatrist
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N004755
- Legal business name
- MOHAWK VALLEY PODIATRY, PC
- Practice address
- 1462 Erie Blvd Ste A202
Schenectady, NY 12305-1026 - Phone
- (518) 370-4331
- Fax
- (518) 372-9256
- NPI assigned
- Apr 29, 2008
- 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. Robert Carl Dicaprio Jr., DPM
- Title
- Owner
- Phone
- (518) 370-4331
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N004755 | NY | Primary |
Addresses
Primary practice location
1462 Erie Blvd Ste A202
Schenectady, NY 12305-1026
Mailing address
1462 Erie Blvd Ste A202
Schenectady, NY 12305-1026
Phone (518) 370-4331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071001000674 | NY | Part B Supplier - Clinic/Group Practice | 4981799236 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fultonville, NY; Schenectady, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Mohawk Valley Podiatry PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Fultonville, NY
- NPI 1518078708
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Fultonville, NY
- NPI 1144321548
-
- Foot Surgery Podiatrist
- Schenectady, NY
- NPI 1467845842
-
- Sports Medicine Podiatrist
- Schenectady, NY
- NPI 1962503425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575936000000",
"number": "1972778918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 ERIE BLVD STE A202",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123051026",
"telephone_number": "518-370-4331",
"fax_number": "518-372-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 ERIE BLVD STE A202",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123051026",
"telephone_number": "518-370-4331",
"fax_number": "518-372-9256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAWK VALLEY PODIATRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A",
"authorized_official_last_name": "DICAPRIO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-370-4331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N004755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.