Organization Active NPI

New England Foot and Ankle Associates, PC

  • Foot & Ankle Surgery Podiatrist
  • Pawtucket, RI
National Provider Identifier
1346366622
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00312 Issued in RI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9024165MedicaidRI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.