Organization Active NPI

Richard B. Feldman, D.P.M., LLC

  • Podiatric Clinic/Center
  • West Haven, CT
National Provider Identifier
1396921987
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
000242 Issued in CT
Legal business name
RICHARD B. FELDMAN, D.P.M., LLC
Practice address
655 Saw Mill Rd
West Haven, CT 06516-3964
Phone
(203) 933-7477
Fax
(203) 931-1775
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Richard Barry Feldman, D.P.M.
Title
Podiatrist
Phone
(203) 933-7477

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 000242 CT Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

655 Saw Mill Rd
West Haven, CT 06516-3964

Mailing address

655 Saw Mill Rd
West Haven, CT 06516-3964
Phone (203) 933-7477

Other identifiers 1

IdentifierTypeStateIssuer
004047064MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1396921987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SAW MILL RD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163964",
            "telephone_number": "203-933-7477",
            "fax_number": "203-931-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SAW MILL RD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163964",
            "telephone_number": "203-933-7477",
            "fax_number": "203-931-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD B. FELDMAN, D.P.M., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "203-933-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CT",
            "license": "000242",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004047064",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.