Active NPI
Richard B. Feldman, D.P.M., LLC
- Podiatric Clinic/Center
- West Haven, CT
National Provider Identifier
1396921987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 000242
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004047064 | Medicaid | CT |
National Provider Directory
National Provider DirectoryNPI 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.