FINGER LAKES PODIATRY OF GENEVA, PLLC
NPI 1891393906
Podiatrist - Foot & Ankle Surgery in Victor, NY

NPI Status: Active since October 12, 2020

Contact Information

1331 E. VICTOR RD
VICTOR, NY
ZIP 14564
Phone: (585) 742-3777
Fax: (585) 742-3785

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • CLIA Number: 33D2296099
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About FINGER LAKES PODIATRY OF GENEVA, PLLC

This page provides the complete NPI Profile along with additional information for Finger Lakes Podiatry Of Geneva, Pllc, a provider established in Victor, New York operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1891393906 assigned on October 2020. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lawrence Larussa Dpm (Owner)

NPI
1891393906
Provider Name
FINGER LAKES PODIATRY OF GENEVA, PLLC
Entity Type
Organization
Location Address
1331 E. VICTOR RD VICTOR, NY 14564
Location Phone
(585) 742-3777
Location Fax
(585) 742-3785
Mailing Address
650 PRE EMPTION RD GENEVA, NY 14456
Mailing Phone
(315) 789-8132
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2020
Last Update Date
05-09-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAWRENCE LARUSSA DPM

Authorized Official Title
OWNER
Authorized Official Phone
(315) 789-8132

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2296099
Facility Type
Physician Office
Certificate Effective Date
December 21, 2023
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. JOSEPH K. PERILLO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Finger Lakes Podiatry Of Geneva, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891393906
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2818169690
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 6 + 9 + 6 + 9 + 0 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1891393906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891393906, enumerated in the NPI registry as an "organization" on October 12, 2020

The provider is located at 1331 E. Victor Rd Victor, Ny 14564 and the phone number is (585) 742-3777

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider's CLIA number is 33D2296099 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 12, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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