Organization Active NPI

Feet First Foot Care Specialists, LLC

  • Foot & Ankle Surgery Podiatrist
  • Cromwell, CT
National Provider Identifier
1356521058
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000768 Issued in CT
Legal business name
FEET FIRST FOOT CARE SPECIALISTS, LLC
Practice address
162 West St Ste K
Cromwell, CT 06416-4405
Phone
(860) 632-5499
Fax
(860) 632-5515
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Dr. Adam Mucinskas, DPMNPI 1689780132
Title
Member
Phone
(860) 632-5499

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 & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000768 CT Primary

Addresses

Primary practice location

162 West St Ste K
Cromwell, CT 06416-4405

Mailing address

162 West St Ste K
Cromwell, CT 06416-4405
Phone (860) 632-5499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051005001155 CT Part B Supplier - Clinic/Group Practice 0345265641 Receives reassigned benefits from 1 practitioner
Practice locations: Cromwell, CT

National Provider Directory

National Provider Directory

Locations

162 West St
Ste K
Cromwell, CT 06416
Phone (860) 632-5499

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": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1356521058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 WEST ST STE K",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164405",
            "telephone_number": "860-632-5499",
            "fax_number": "860-632-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 WEST ST STE K",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164405",
            "telephone_number": "860-632-5499",
            "fax_number": "860-632-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEET FIRST FOOT CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "MUCINSKAS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-632-5499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.