Foot Specialists of New England PLLC
Organization Active NPI Primary Podiatric Medicine Podiatrist · Sandwich, MA
NPI 1174256374 · NPPES record last updated Jul 5, 2022
Key facts
- NPI
- 1174256374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Podiatric Medicine Podiatrist 213EP1101X
- Legal business name
- FOOT SPECIALISTS OF NEW ENGLAND PLLC
- Practice address
- 449 Route 130 Ste 5
Sandwich, MA 02563-2339 - Phone
- (508) 888-8338
- Fax
- (617) 773-4301
- NPI assigned
- Jul 5, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- FOOT SPECIALISTS OF NEW ENGLAND PLLC
Authorized official
- Name
- James A Anderson Jr., DPM
- Title
- Ceo
- Phone
- (817) 516-4700
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220413002155 | MA | Part B Supplier - Clinic/Group Practice | 4880080142 |
Receives reassigned benefits from 9 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Quincy, MA; Sandwich, MA; Waltham, MA |
National Provider Directory
- Tax ID family
- Foot Specialists of New England PLLC
- Part of
- Foot Specialists of New England PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | |||
| Primary Podiatric Medicine Podiatrist |
213EP1101X | Yes | ||
| Sports Medicine Podiatrist |
213ES0000X | |||
| Foot & Ankle Surgery Podiatrist |
213ES0103X | |||
| Foot Surgery Podiatrist |
213ES0131X |
Addresses
Primary practice location
449 Route 130 Ste 5
Sandwich, MA 02563-2339
Mailing address
20 Hope Ave Ste 102
Waltham, MA 02453-2717
Phone (781) 516-4700
Other names
- Foot Specialist of New England - Sandwich
Other providers in Sandwich, MA
- Jennifer R Everett
- Sally J Farry
- Kyriaki Antonia Fitzgerald
- Kimberly S. Florence
- Kristina A Florio
- Barbara Forslund
- William Bartram Fox
- Fraser Rest Home of Sandwich
- Kenneth Lowell Freedman
- Jennifer Lynne Gaboury
All providers in Sandwich, MA · Primary Podiatric Medicine Podiatrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.