NPIMap

Organization Active NPI

Sanphy Podiatry Group, Inc.

  • Podiatrist
  • Lynn, MA
National Provider Identifier
1164551875
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2003 Issued in MA
Legal business name
SANPHY PODIATRY GROUP, INC.
Practice address
98 Nahant St
Lynn, MA 01902-3315
Phone
(781) 596-0703
NPI assigned
Mar 6, 2007
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Mark Sanphy, D.P.M.NPI 1932145810
Title
Doctor
Phone
(781) 596-0703

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 2003 MA Primary

Addresses

Primary practice location

98 Nahant St
Lynn, MA 01902-3315

Mailing address

98 Nahant St
Lynn, MA 01902-3315
Phone (781) 596-0703

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040423000449 MA Part B Supplier - Clinic/Group Practice 5092701102 Receives reassigned benefits from 6 practitioners
Practice locations: Lynn, MA
O20100930016420 MA DME Supplier - Physician - Podiatry 5092701102 Practice locations: Lynn, MA

National Provider Directory

National Provider Directory

Locations

98 Nahant St
Ofc
Lynn, MA 01902

Interoperability endpoints

  • Direct secure messaging: uhrich.robert.sanphy@direct.partners.masshiway.net
  • Direct secure messaging: yamadjako.steeve.sanphy@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 10

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1164551875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 NAHANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023315",
            "telephone_number": "781-596-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 NAHANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023315",
            "telephone_number": "781-596-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANPHY PODIATRY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "SANPHY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "781-596-0703",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.