Organization Active NPI

Peter J Sardella DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Cranston, RI
National Provider Identifier
1396481610
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PETER J SARDELLA DPM LLC
Practice address
1591 Cranston St
Cranston, RI 02920-5141
Phone
(401) 946-9933
NPI assigned
May 10, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Peter Sardella
Title
Owner
Phone
(401) 946-9933

Specialties & licenses 1

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

Addresses

Primary practice location

1591 Cranston St
Cranston, RI 02920-5141

Mailing address

43 W Blue Ridge Rd
Cranston, RI 02920-3623

National Provider Directory

National Provider Directory

Locations

1591 Cranston St
Cranston, RI 02920
Phone (401) 946-9933

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1396481610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W BLUE RIDGE RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 CRANSTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205141",
            "telephone_number": "401-946-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J SARDELLA DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "SARDELLA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-946-9933"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.