1. Home
  2. Directory
  3. New York
  4. Whitehall
  5. Podiatrist
  6. NPI Profile

GREEN MOUNTAIN FAMILY PODIATRY PC
NPI 1407909039
Podiatrist - Foot & Ankle Surgery in Whitehall, NY

Active since January 18, 2007
212 BROADWAY, WHITEHALL, NY 12887(518) 499-9264(518) 499-9247 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Green Mountain Family Podiatry Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN MOUNTAIN FAMILY PODIATRY PC (NPI 1407909039) is a healthcare organization registered as a foot & ankle surgery in Whitehall, New York and active in the NPI registry since January 2007. The organization lists Jose Guillermo Irizarry, Owner-president, as its authorized official.

NPPES Registry Identity

NPI1407909039
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGREEN MOUNTAIN FAMILY PODIATRY PC
Location Address212 BROADWAYWhitehall, NY 12887-1639
Mailing Address212 BroadwayWhitehall, NY 12887-1639 · (518) 499-9264 · Fax (518) 499-9247
Phone(518) 499-9264
Fax(518) 499-9247
Organization SubpartNo
Authorized OfficialJose Guillermo IrizarryOwner-president · (518) 499-9264
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJune 21, 2018
✔ NPI 1407909039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NY · 003568
212 BROADWAY, Whitehall, NY 12887
Open in Google Maps ↗

Other Identifiers 9

Other59591NY · Mvp Health Care
OtherPAW48NY · Empire Blue Cross
Medicaid00810586NY
Other9659860-99NY · Ghi
OtherP3899NY · Empire Blue Cross
Other041210000033NY · Fidelis
Other1005566VT · Vermont Medicaid
Other00028868VT · Bcbs Vermont
Other000470542001NY · Blueshield Healthnow

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Mountain Family Podiatry PC's NPI number?

The NPI number for Green Mountain Family Podiatry PC is 1407909039. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Green Mountain Family Podiatry PC located?

Green Mountain Family Podiatry PC is located at 212 Broadway, Whitehall, NY 12887. The listed phone number is (518) 499-9264.

What is Green Mountain Family Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Green Mountain Family Podiatry PC was last updated on June 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.