New England Podiatry Associates, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1948 Issued in MA

Legal business name

NEW ENGLAND PODIATRY ASSOCIATES, P.C.

Practice address

669 Main St
Waltham, MA 02451-0602

Phone

(781) 891-3311

Fax

(781) 891-1315

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Brian Etskovitz, D.P.M.

Title

Podiatrist

Phone

(781) 891-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1003010273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510602",
            "telephone_number": "781-891-3311",
            "fax_number": "781-891-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510602",
            "telephone_number": "781-891-3311",
            "fax_number": "781-891-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND PODIATRY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "ETSKOVITZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "781-891-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9740333",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Waltham, MA
• Providers in Waltham, MA by specialty
• Foot & Ankle Surgery Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.