Associated Podiatrists of North Haven
Organization Active NPI Foot Surgery Podiatrist · North Haven, CT
NPI 1295850204 · NPPES record last updated Apr 15, 2011
Key facts
- NPI
- 1295850204
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- 000283 (CT)
- Legal business name
- ASSOCIATED PODIATRISTS OF NORTH HAVEN
- Practice address
- 83 Washington Ave
North Haven, CT 06473 - Phone
- (203) 787-3800
- Fax
- (203) 787-0004
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Abraham Yale, DPM
- Title
- Partner
- Phone
- (203) 787-3800
Practitioners 11
-
Usman Aleem, DPM
-
Chioma N Odukwe Enu, D.P.M
-
Abraham Charles Yale, D.P.M.
-
Duke Sang Young Yoo III, D.P.M.
-
Carol A Callahan, DPM
-
Chris Paul Kassaris, DPM
-
Sherwin M Tucker, DPM
-
Vanessa Terry Barrow, D.P.M
-
Pedram Hendizadeh, D.P.M., F.A.C.F.A.S.
-
Jeffrey Thomas Novak, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070922000032 | CT | Part B Supplier - Clinic/Group Practice | 9830283795 |
Receives reassigned benefits from 5 practitioners Practice locations: North Haven, CT |
National Provider Directory
Locations
1881 Post Rd
Fairfield, CT 06824
Phone (203) 255-1036
83 Washington Ave
North Haven, CT 06473
Phone (203) 285-8624
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist |
213ES0131X | 000283 | CT | Yes |
Addresses
Primary practice location
83 Washington Ave
North Haven, CT 06473
Mailing address
83 Washington Ave
North Haven, CT 06473-1704
Phone (203) 787-3800
Other providers in North Haven, CT
- Art Therapy of Hamden LLC
- Vivian Afia-Serwaa Asare
- Aspire Living & Learning
- Aspire Living & Learning
- Aspire Living & Learning
- Athena Montowese SNF LLC
- Kayce Averna
- Mariam Awad
- Aware Recovery Care Inc
- Kevin M Awugah
All providers in North Haven, CT · Foot Surgery Podiatrist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2011. 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.