Individual provider Active NPI

Lonnie Resnick, DPM

  • Podiatrist
  • Norwalk, CT
National Provider Identifier
1063416683
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
CT000515 Issued in CT
Practice address
148 East Ave Ste 1D
Norwalk, CT 06851-5727
Phone
(203) 853-6570
Fax
(203) 853-2078
NPI assigned
Jun 10, 2005
Reactivated
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X CT000515 CT Primary

Addresses

Primary practice location

148 East Ave Ste 1D
Norwalk, CT 06851-5727

Mailing address

148 East Ave Ste 1D
Norwalk, CT 06851-5727
Phone (203) 853-6570

Other identifiers 4

IdentifierTypeStateIssuer
030000515CT04OtherCTANTHEM BC-BS
004095205MedicaidCT
OV0227OtherCTHEALTHNET
ZS274OtherCTOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091207000213 CT Practitioner - Podiatry 3375682255 Reassigns benefits to 1 organization
Practice locations: Norwalk, CT
O20100930032381 CT DME Supplier - Physician - Podiatry 2668591702 Practice locations: Norwalk, CT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

Hospital & facility affiliations

  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue70
Removal of skin lesions1-10
Removal of nail tissue1639
Removal or shaving of skin growth1240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
515CTMDClinical Psychologist
CT000515CTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Norwalk Hospital Association CurrentSince Nov 27, 2016 Accepting new patients
Norwalk Hospital Association CurrentSince Nov 27, 2016 Accepting new patients

Locations

520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1063416683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVE STE 1D",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515727",
            "telephone_number": "203-853-6570",
            "fax_number": "203-939-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE STE 1D",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515727",
            "telephone_number": "203-853-6570",
            "fax_number": "203-853-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "LONNIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "CT000515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC-BS",
            "identifier": "030000515CT04",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004095205",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OV0227",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ZS274",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.