Organization Active NPI

Family Footcare, PC

  • Durable Medical Equipment & Medical Supplies
  • Danbury, CT
National Provider Identifier
1093894263
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FAMILY FOOTCARE, PC
Practice address
52 Federal Rd Ste 1a
Danbury, CT 06810-6162
Phone
(203) 792-3668
Fax
(203) 796-7478
NPI assigned
Nov 6, 2006
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Dr. James M Dejesus, DPMNPI 1083727556
Title
President
Phone
(203) 723-7884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

52 Federal Rd Ste 1a
Danbury, CT 06810-6162

Mailing address

1183 New Haven Rd
Naugatuck, CT 06770-5033
Phone (203) 723-7884

Other identifiers 1

IdentifierTypeStateIssuer
004094554MedicaidCT

National Provider Directory

National Provider Directory

Locations

52 Federal Rd
Ste 1A
Danbury, CT 06810
Phone (203) 792-3668

1183 New Haven Rd
Ste 10
Naugatuck, CT 06770
Phone (203) 723-7884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1093894263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 NEW HAVEN RD",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067705033",
            "telephone_number": "203-723-7884",
            "fax_number": "203-723-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 FEDERAL RD STE 1A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106162",
            "telephone_number": "203-792-3668",
            "fax_number": "203-796-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOTCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-723-7884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004094554",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.