NPIMap

Organization Active NPI

Yale Podiatry Group PC

  • Podiatrist
  • Ansonia, CT
National Provider Identifier
1184635237
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
YALE PODIATRY GROUP PC
Practice address
364 E Main St
Yale Podiatry Group PC
Ansonia, CT 06401-1904
Phone
(203) 734-4806
Fax
(203) 734-8265
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Jeffrey F Yale, DPMNPI 1790796845
Title
President
Phone
(203) 734-4806

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

364 E Main St
Yale Podiatry Group PC
Ansonia, CT 06401-1904

Mailing address

364 E Main St
Yale Podiatry Group PC
Ansonia, CT 06401-1904
Phone (203) 734-4806

Other identifiers 1

IdentifierTypeStateIssuer
4020517MedicaidCT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1184635237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 E MAIN ST",
            "address_2": "YALE PODIATRY GROUP PC",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011904",
            "telephone_number": "203-734-4806",
            "fax_number": "203-734-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 E MAIN ST",
            "address_2": "YALE PODIATRY GROUP PC",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011904",
            "telephone_number": "203-734-4806",
            "fax_number": "203-734-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE PODIATRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "YALE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-734-4806",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4020517",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.