Methuen Podiatry Associates LLP

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

METHUEN PODIATRY ASSOCIATES LLP

Practice address

191 Broadway
Methuen, MA 01844-3837

Phone

(978) 682-0382

Fax

(978) 975-3585

NPI assigned

Dec 20, 2005

Last updated

May 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc D Klein, DPMNPI 1376529222

Title

Partner

Phone

(978) 682-0382

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 5

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.

• Nicholas Ciotola

  • Foot & Ankle Surgery Podiatrist
  • Methuen, MA
  • NPI 1205248127
  Medicare reassignment Care Compare group NPD
• Marc David Klein, DPM

  • Podiatrist
  • Methuen, MA
  • NPI 1376529222
  Medicare reassignment NPD Authorized official
• Dennis Lawrence Ryan, DPM

  • Podiatrist
  • Methuen, MA
  • NPI 1154381085
  Medicare reassignment Care Compare group NPD
• Daryl Silva

  • Podiatrist
  • Methuen, MA
  • NPI 1306462106
  Medicare reassignment Care Compare group NPD
• Abinash Mishra, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1063999183

  MA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1275519365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443837",
            "telephone_number": "978-682-0382",
            "fax_number": "978-975-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443837",
            "telephone_number": "978-682-0382",
            "fax_number": "978-975-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHUEN PODIATRY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "978-682-0382",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5190491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS",
            "identifier": "Y77357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR WHOLE HEALTH",
            "identifier": "629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HMO.PPO",
            "identifier": "724027",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9756680",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLANS",
            "identifier": "0039719",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS,MULTI PLANS",
            "identifier": "119448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USP DEPART OF LABOR",
            "identifier": "202669700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF6168",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Methuen Family Dental LLC.
• Methuen Oral Surgery Associates, P.C.
• Methuen Pediatric Therapy LLC (Developmental Testing of New England)
• Methuen Pediatric Therapy LLC
• Methuen Physical Therapy
• Methuen Podiatry Associates PC
• Methuen Podiatry Associates, LLC
• Methuen Smiles LLC
• Patricia Leandra Mezquita, RN
• Michael H. Chow, D.D.S., P.C.

• Podiatric Clinic/Center in Methuen, MA
• Providers in Methuen, MA by specialty
• Podiatric Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.