Active NPI
Peter T Labarbera, DPM
- Foot Surgery Podiatrist
- Waterbury, CT
National Provider Identifier
1184632028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- P00105
- Practice address
- 389 Highland Ave
Waterbury, CT 06708 - Phone
- (203) 754-0879
- Fax
- (203) 757-4123
- NPI assigned
- Aug 4, 2006
- Last updated
- Nov 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | P00105 | CT | Primary |
Addresses
Primary practice location
389 Highland Ave
Waterbury, CT 06708
Mailing address
389 Highland Ave
Waterbury, CT 06708
Phone (203) 754-0879
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9576547004 | Other | CIGNA | |
| 95922 | Other | AETNA US HEALTHCARE | |
| OV7802 | Other | HEALTH NET | |
| 782531 | Other | CONNECTICARE | |
| 030000105CT01 | Other | CT | BS |
| NHS346 | Other | OXFORD HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1184632028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 HIGHLAND AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-754-0879",
"fax_number": "203-757-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 HIGHLAND AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-754-0879",
"fax_number": "203-757-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABARBERA",
"first_name": "PETER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CT",
"license": "P00105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9576547004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "95922",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "OV7802",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "782531",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "030000105CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "NHS346",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.