Yale Comfort Shoe Center LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

YALE COMFORT SHOE CENTER LLC

Practice address

305 Boston Ave
Stratford, CT 06614-5246

Phone

(203) 372-7112

Fax

(203) 338-8437

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Marie A Kaufman

Title

Billing Manager

Phone

(203) 777-2396

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Yale Comfort Shoe-Yale Surgical Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1043326010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116992",
            "telephone_number": "203-777-2396",
            "fax_number": "203-777-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BOSTON AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145246",
            "telephone_number": "203-372-7112",
            "fax_number": "203-338-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE COMFORT SHOE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "203-777-2396"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12DME0905CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OV6079",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004096295",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yale Comfort Shoe-Yale Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wonder Years Services LLC
• Trina Wong, LMFT
• Jennifer Woods-Mesquita
• Henrietta Wright
• Yuhui Xu, M.D.,PHD
• Yale Surgical O&P, LLC
• Panayotes Yannopoulos, MD
• Josh A Yoffe, CRNA
• Keumhong Yoo, D.C.
• Su Jeong Yoon

• Prosthetic/Orthotic Supplier in Stratford, CT
• Providers in Stratford, CT by specialty
• Prosthetic/Orthotic Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.