Active NPI
Family Footcare, PC
- Durable Medical Equipment & Medical Supplies
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James M Dejesus, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004094554 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Naugatuck, CT
- NPI 1083727556
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.