NPIMap

Organization Active NPI

Brian D Tedesco, DPM & George a Abboud, DPM PC

Doing business as New England Foot & Ankle Specialists

  • Podiatrist
  • Reading, MA
National Provider Identifier
1114981487
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BRIAN D TEDESCO, DPM & GEORGE A ABBOUD, DPM PC
Doing business as
New England Foot & Ankle Specialists
Practice address
30 New Crossing Road
Suite 311
Reading, MA 01867-3271
Phone
(781) 944-4044
Fax
(781) 944-4050
NPI assigned
Apr 13, 2006
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Dr. George A Abboud, DPMNPI 1104880475
Title
Vice President
Phone
(781) 944-4044

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
Podiatrist 213E00000X Primary

Addresses

Primary practice location

30 New Crossing Road
Suite 311
Reading, MA 01867-3271

Mailing address

30 New Crossing Road
Suite 311
Reading, MA 01867-3271
Phone (781) 944-4044

Other identifiers 2

IdentifierTypeStateIssuer
Y77328OtherMABLUE CROSS/BLUE SHIELD
68868OtherMATUFTS HEALTH CARE

Other names 1

  • New England Foot & Ankle Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070312000526 MA Part B Supplier - Clinic/Group Practice 7517060593 Receives reassigned benefits from 7 practitioners
Practice locations: Reading, MA; Somerville, MA; Wakefield, MA
O20100930044853 MA DME Supplier - Physician - Podiatry 7517060593 Practice locations: Wakefield, MA
O20230424000896 NH Part B Supplier - Clinic/Group Practice 7517060593 Receives reassigned benefits from 2 practitioners
Practice locations: Derry, NH; Nashua, NH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Brian D Tedesco DPM George5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1114981487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEW CROSSING ROAD",
            "address_2": "SUITE 311",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673271",
            "telephone_number": "781-944-4044",
            "fax_number": "781-944-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEW CROSSING ROAD",
            "address_2": "SUITE 311",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673271",
            "telephone_number": "781-944-4044",
            "fax_number": "781-944-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D TEDESCO, DPM & GEORGE A ABBOUD, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-944-4044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Y77328",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "68868",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.