Organization Active NPI

Robert S. Stipek, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Burlington, MA
National Provider Identifier
1386852580
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1455 Issued in MA
Legal business name
ROBERT S. STIPEK, D.P.M.
Practice address
265 Winn St
Burlington, MA 01803-2616
Phone
(781) 272-5484
Fax
(781) 272-1616
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Robert S Stipek, D.P.M.
Title
Owner
Phone
(781) 272-5484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1455 MA Primary

Addresses

Primary practice location

265 Winn St
Burlington, MA 01803-2616

Mailing address

265 Winn St
Burlington, MA 01803-2616
Phone (781) 272-5484

Other identifiers 1

IdentifierTypeStateIssuer
Y77164OtherMABCBS ID

Other names 1

  • Middlesex Regional Podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

265 Winn St
Burlington, MA 01803
Phone (617) 272-5484

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1AN2znHfTFaFUc4YPucjdabPqWM4Ifu6/

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": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1386852580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 WINN ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032616",
            "telephone_number": "781-272-5484",
            "fax_number": "781-272-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 WINN ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032616",
            "telephone_number": "781-272-5484",
            "fax_number": "781-272-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. STIPEK, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "STIPEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-272-5484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  ID",
            "identifier": "Y77164",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlesex Regional Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.