Active NPI
New England Foot and Ankle Associates, PC
- Foot & Ankle Surgery Podiatrist
- Pawtucket, RI
National Provider Identifier
1346366622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM00312
- Legal business name
- NEW ENGLAND FOOT AND ANKLE ASSOCIATES, PC
- Practice address
- 407 East Ave
Suite 120
Pawtucket, RI 02860-5299 - Phone
- (401) 726-7777
- Fax
- (401) 727-1212
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Manuel Simoes, DPM
- Title
- Podiatrist
- Phone
- (401) 726-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM00312 | RI | Primary |
Addresses
Primary practice location
407 East Ave
Suite 120
Pawtucket, RI 02860-5299
Mailing address
407 East Ave
Suite 120
Pawtucket, RI 02860-5299
Phone (401) 726-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9024165 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
407 East Ave
Ste 120
Pawtucket, RI 02860
Phone (401) 725-4700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346366622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 EAST AVE",
"address_2": "SUITE 120",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605299",
"telephone_number": "401-726-7777",
"fax_number": "401-727-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 EAST AVE",
"address_2": "SUITE 120",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605299",
"telephone_number": "401-726-7777",
"fax_number": "401-727-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ENGLAND FOOT AND ANKLE ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIMOES",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MANUEL",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "401-726-7777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "RI",
"license": "DPM00312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9024165",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.