Individual provider Active NPI

Jamie Anthony Otfinoski, DPM

  • Podiatrist
  • Bethel, CT
National Provider Identifier
1083000269
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
979 Issued in CT
Practice address
8 School St
Bethel, CT 06801-1877
Phone
(203) 743-7083
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 979 CT
Radiology Podiatrist 213ER0200X 979 CT
Orthotic Fitter 225000000X 979 CT
Podiatrist 213E00000X 979 CT Primary

Addresses

Primary practice location

8 School St
Bethel, CT 06801-1877

Mailing address

8 School St
Bethel, CT 06801-1877
Phone (203) 743-7083

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180604002015 CT Practitioner - Podiatry 1759646227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Z Fein DPM PCGroup PAC ID 5395799332, 10 clinicians

Practice addresses (Care Compare)

8 School St
Suite 8
Bethel, CT 06801-1846
Phone (203) 743-7083

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions23
Removal of nail tissue1191
Removal or shaving of skin growth417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
979CTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Z Fein DPM PC Podiatrist CurrentSince Jul 1, 2018 Accepting new patients
Danbury Hospital CurrentSince Jan 6, 2019 Accepting new patients
Michael Z Fein DPM PC Podiatrist CurrentSince Jul 1, 2018 Accepting new patients
Danbury Hospital CurrentSince Jan 6, 2019 Accepting new patients

Locations

8 School St
Ste 8
Bethel, CT 06801
Phone (203) 743-7083

70 Main St
Danbury, CT 06810
Phone (203) 739-8100

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

Interoperability endpoints

  • Direct secure messaging: jotfinoski@usfas.emadirect.md

Organizations & group practices 4

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 2

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1083000269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SCHOOL ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011877",
            "telephone_number": "203-743-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SCHOOL ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011877",
            "telephone_number": "203-743-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTFINOSKI",
        "first_name": "JAMIE",
        "middle_name": "ANTHONY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CT",
            "license": "979",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "CT",
            "license": "979",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CT",
            "license": "979",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

Verify at the official NPI Registry.