Organization Active NPI

NVP Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Wakefield, MA
National Provider Identifier
1144705443
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
NVP PODIATRY, LLC
Practice address
380 Lowell St Ste 102
Wakefield, MA 01880-1984
Phone
(781) 224-3669
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Authorized official

Name
Nancy V. Prechtl, DPMNPI 1861690810
Title
Owner
Phone
(781) 224-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

380 Lowell St Ste 102
Wakefield, MA 01880-1984

Mailing address

380 Lowell St Ste 102
Wakefield, MA 01880-1984
Phone (781) 224-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181113002249 MA Part B Supplier - Clinic/Group Practice 9537413471 Receives reassigned benefits from 1 practitioner
Practice locations: Wakefield, MA
O20190904001810 MA DME Supplier - Physician - Podiatry 9537413471 Practice locations: Wakefield, MA

National Provider Directory

National Provider Directory

Locations

380 Lowell St
Ste 102
Wakefield, MA 01880
Phone (781) 224-3668

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1144705443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 LOWELL ST STE 102",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801984",
            "telephone_number": "781-224-3668",
            "fax_number": "781-224-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 LOWELL ST STE 102",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801984",
            "telephone_number": "781-224-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NVP PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "PRECHTL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-224-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.