FAMILY FOOTCARE, PC (NPI# 1699802090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699802090 |
Entity Type | Organization |
Organization Name | FAMILY FOOTCARE, PC |
Practice Address |
1183 New Haven Rd Naugatuck CT 06770-5033 |
Practice Telephone | 2037237884 |
Practice Fax Number | 2037232946 |
Mailing Telephone | 2037237884 |
Mailing Fax Number | 2037232946 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2009-05-13 |
Authorized Official Name | DR. JAMES M DEJESUS (PODIATRIST) |
Authorized Official Telephone | 2037237884 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00461 | CT | Podiatric Medicine & Surgery Service Providers |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | 000454 | CT | Suppliers |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | 000461 | CT | Suppliers |
N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
000454 | CT | Suppliers |
N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
000461 | CT | Suppliers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00454 | CT | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | MEDICAID - DME GROUP ID | 004225703 | 01 |
CT | 004094554 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841536083 | Family Footcare, PC | Durable Medical Equipment & Medical Supplies | 77 Main St N, Ste 104, Southbury, CT 06488-2200 | 2012-12-17 |
1093894263 | Family Footcare, PC | Durable Medical Equipment & Medical Supplies | 52 Federal Rd, Unit 1a, Danbury, CT 06810-6162 | 2006-11-06 |
1568549301 | Family Footcare, PC | Durable Medical Equipment & Medical Supplies | 1183 New Haven Rd, Naugatuck, CT 06770-5033 | 2006-11-01 |
Street Address |
1183 NEW HAVEN RD |
City | NAUGATUCK |
State | CT |
Zip Code | 06770-5033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649256165 | Regina Onic Hillsman | Orthopaedic Surgery | 1183 New Haven Rd, Naugatuck, CT 06770-5033 | 2005-12-16 |
1104340983 | Michael Lynch | Physical Therapist | 1183 New Haven Rd, Naugatuck, CT 06770-5033 | 2017-08-02 |
1922308741 | Betty M Carreira | Podiatrist | 1183 New Haven Rd, Naugatuck, CT 06770-5033 | 2010-10-26 |
1790813947 | Active Orthopedic Therapy PC | Physical Therapist | 1183 New Haven Rd, Ste206, Naugatuck, CT 06770-5033 | 2007-03-01 |
1770623951 | Marisha Dhiren Tamakuwala | Physical Therapist | 1183 New Haven Rd, Hillsman Suite, Naugatuck, CT 06770-5033 | 2007-02-07 |
1568549301 | Family Footcare, PC | Durable Medical Equipment & Medical Supplies | 1183 New Haven Rd, Naugatuck, CT 06770-5033 | 2006-11-01 |
1578645149 | Saverio J. Caligiuri | Physical Therapist | 1183 New Haven Rd, Naugatuck, CT 06770-5033 | 2006-10-20 |
1306932637 | Cassandra Jeanne Del Castillo Obenza | Physical Therapist | 1183 New Haven Rd, Ste 206, Naugatuck, CT 06770-5033 | 2006-10-05 |
1083727556 | James M Dejesus | Podiatrist | 1183 New Haven Rd, Naugatuck, CT 06770-5033 | 2006-08-17 |
1609989185 | David W Mader | Podiatrist | 1183 New Haven Rd, Naugatuck, CT 06770-5033 | 2006-08-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447767553 | Brittany Sauers | Occupational Therapist | 1261 South Main Street, Plansville, CT 06770 | 2018-01-10 |
1306350756 | Sheila I Negron | Social Worker | 150 Meadow St, Naugatuck, CT 06770 | 2017-11-21 |
1366873390 | Megan Robert Raniolo | Speech-Language Pathologist | 9 Hazel Avenue, Naugatuck, CT 06770 | 2013-12-02 |
1679831192 | Kelly Morin-irwin | Physical Therapist | 4 Hazel Av, Naugatuck, CT 06770 | 2012-05-03 |
1053680025 | Sandra Porino Heller | Social Worker | 29 Coventry Lane, Naugatuck, CT 06770 | 2011-12-21 |
1902191406 | Danielle Marie Dunn | Physical Therapist | 1183 New Haven Road, Naugatuck, CT 06770 | 2011-06-13 |
1750692166 | Acuity House Call | Internal Medicine | 21 Church Street, Naugatuck, CT 06770 | 2010-06-30 |
1356465892 | Jodi Sue Rodriguez | Occupational Therapy Assistant | 89 Weid Drive, Beacon Brook Health Center, Naugatuck, CT 06770 | 2007-03-19 |
1861563686 | Naugatuck Ambulance Inc | Ambulance | 246 Rubber Ave, Naugatuck, CT 06770 | 2006-11-13 |
1730292822 | Molecular Diagnostic Laboratory LLC | Clinical Medical Laboratory | 131 Quinn St, Naugatuck, CT 06770 | 2006-08-16 |
Find all providers in zip 06770 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922308741 | Betty M Carreira | Podiatrist | 1183 New Haven Rd, Naugatuck, CT 06770-5033 | 2010-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528672722 | Hartford Orthopedic Surgeons, PC | Podiatrist | 9 Cranbrook Blvd Fl 2, Enfield, CT 06082-3889 | 2020-09-04 |
1538530571 | Connecticut Podiatry Group | Podiatrist | 31 Washington Ave, North Haven, CT 06473-2355 | 2015-10-16 |
1972974830 | Connecticut Podiatry Group,p.c. | Podiatrist | 128 Saltonstall Pkwy, East Haven, CT 06512-2425 | 2015-10-16 |
1760862445 | Ankur Ashok Patel | Podiatrist | 168 New Milford Tpke Unit 1a, New Preston Marble Dale, CT 06777-1601 | 2015-06-08 |
1194103200 | Sean Wayne Lazarus Dpm LLC | Podiatrist | 920 Little Meadow Rd, Guilford, CT 06437-1649 | 2015-05-08 |
1790172930 | Rachel Hannah Albright | Podiatrist | 800 Post Rd Ste 302, Darien, CT 06820-4622 | 2015-04-24 |
1023403102 | Andrew H Litchfield | Podiatrist | 1111 Cromwell Ave Bldg 4, Rocky Hill, CT 06067-3449 | 2015-04-05 |
1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
1245658681 | Chelsea Viola | Podiatrist | 350 Center Rock Grn Ste 3, Oxford, CT 06478-3170 | 2014-04-02 |
1871848382 | Core Podiatry LLC | Podiatrist | 1753 Meriden-waterbury Tpke, Southington, CT 06489-0770 | 2012-07-20 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.