NPIMap

Organization Active NPI

Westside Podiatry Center LLP

Doing business as Skaneateles Foot & Ankle Center

  • Foot Surgery Podiatrist
  • Liverpool, NY
National Provider Identifier
1982660809
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
WESTSIDE PODIATRY CENTER LLP
Doing business as
Skaneateles Foot & Ankle Center
Practice address
8132B Oswego Rd
Liverpool, NY 13090-1500
Phone
(315) 546-0285
Fax
(315) 546-0289
NPI assigned
Apr 21, 2006
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Lynda Mura
Title
Practice Manager
Phone
(315) 546-0285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X NU Primary

Addresses

Primary practice location

8132B Oswego Rd
Liverpool, NY 13090-1500

Mailing address

8132B Oswego Rd
Liverpool, NY 13090-1500
Phone (315) 546-0285

Other identifiers 1

IdentifierTypeStateIssuer
02554983MedicaidNY

Other names 1

  • Skaneateles Foot & Ankle Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031125000649 NY Part B Supplier - Clinic/Group Practice 9739083270 Receives reassigned benefits from 7 practitioners
Practice locations: Camillus, NY; Cicero, NY; Liverpool, NY; Oswego, NY; Skaneateles, NY
O20100930035210 NY DME Supplier - Physician - Podiatry 9739083270 Practice locations: Liverpool, NY

National Provider Directory

National Provider Directory

Locations

8280 Willett Pkwy
#120
Baldwinsville, NY 13027
Phone (315) 857-0140

5104 W Genesee St
Fl 1
Camillus, NY 13031
Phone (315) 701-3348

7458 Oswego Rd
Liverpool, NY 13090
Phone (315) 546-0285

8132 Oswego Rd
#B
Liverpool, NY 13090

8132B Oswego Rd
Liverpool, NY 13090
Phone (315) 546-0285

130 E 2nd St
Oswego, NY 13126
Phone (315) 532-6600

27 Fennell St
Ste 2
Skaneateles, NY 13152
Phone (315) 685-3338

4671 Onondaga Blvd
Ste 120
Syracuse, NY 13219
Phone (315) 217-0004

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1982660809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132B OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901500",
            "telephone_number": "315-546-0285",
            "fax_number": "315-546-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132B OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901500",
            "telephone_number": "315-546-0285",
            "fax_number": "315-546-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PODIATRY CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "MURA",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "315-546-0285"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02554983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skaneateles Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.