Active NPI
Lonnie Resnick, DPM
- Podiatrist
- Norwalk, CT
National Provider Identifier
1063416683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- CT000515
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030000515CT04 | Other | CT | ANTHEM BC-BS |
| 004095205 | Medicaid | CT | |
| OV0227 | Other | CT | HEALTHNET |
| ZS274 | Other | CT | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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 Inc
Practice addresses (Care Compare)
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
Hospital & facility affiliations
- Norwalk Hospital
- Stamford Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 70 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1639 |
| Removal or shaving of skin growth | 1240 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 515 | CT | MD | Clinical Psychologist |
| CT000515 | CT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwalk Hospital Association | Current | Accepting new patients | |
| Norwalk Hospital Association | Current | 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.
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1346441953
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
-
- General Acute Care Hospital
- Stamford, CT
- NPI 1356331425
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.