Organization Active NPI

Sunshine Podiatry LLC

  • Foot Surgery Podiatrist
  • North Haven, CT
National Provider Identifier
1285454058
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
SUNSHINE PODIATRY LLC
Practice address
2 Broadway Ste 2
North Haven, CT 06473-2370
Phone
(203) 691-9197
Fax
(203) 496-4580
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Dr. Sathiyapama Eswarathasan, DPMNPI 1922158666
Title
Owner
Phone
(203) 691-9197

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
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

2 Broadway Ste 2
North Haven, CT 06473-2370

Mailing address

2 Broadway Ste 2
North Haven, CT 06473-2370
Phone (203) 691-9197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250217000542 CT Part B Supplier - Clinic/Group Practice 5395275655 Receives reassigned benefits from 1 practitioner
Practice locations: North Haven, CT

National Provider Directory

National Provider Directory

Locations

2 Broadway
Ste 2
North Haven, CT 06473
Phone (203) 691-9197

Practitioners & affiliated clinicians

Practitioners 1

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": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1285454058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROADWAY STE 2",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732370",
            "telephone_number": "203-691-9197",
            "fax_number": "203-496-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROADWAY STE 2",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732370",
            "telephone_number": "203-691-9197",
            "fax_number": "203-496-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "ESWARATHASAN",
        "authorized_official_first_name": "SATHIYAPAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-691-9197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.