Organization Active NPI

Newtown Comprehensive Foot Care LLC

  • Foot & Ankle Surgery Podiatrist
  • Newtown, CT
National Provider Identifier
1134590169
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000934 Issued in CT
Legal business name
NEWTOWN COMPREHENSIVE FOOT CARE LLC
Practice address
153 S Main St
Newtown, CT 06470-2791
Phone
(203) 426-7060
Fax
(203) 270-0420
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Andrew Campbell, DPM
Title
Owner
Phone
(917) 690-2605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000934 CT Primary

Addresses

Primary practice location

153 S Main St
Newtown, CT 06470-2791

Mailing address

3333 Henry Hudson Pkwy
Apt 19W
Bronx, NY 10463-3224
Phone (917) 690-2605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1134590169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "APT 19W",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224",
            "telephone_number": "917-690-2605",
            "fax_number": "347-603-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 S MAIN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702791",
            "telephone_number": "203-426-7060",
            "fax_number": "203-270-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTOWN COMPREHENSIVE FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-690-2605",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.