Organization Active NPI

Julienne Dudzis, DPM

  • Durable Medical Equipment & Medical Supplies
  • Ansonia, CT
National Provider Identifier
1407030489
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
000583 Issued in CT
Legal business name
JULIENNE DUDZIS, DPM
Practice address
153 Main St
Ansonia, CT 06401-1805
Phone
(203) 735-0055
Fax
(203) 735-0055
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Dr. Julienne Dudzis, DPM
Title
Podiatrist
Phone
(203) 735-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 000583 CT Primary

Addresses

Primary practice location

153 Main St
Ansonia, CT 06401-1805

Mailing address

153 Main St
Ansonia, CT 06401-1805
Phone (203) 735-0055

Other identifiers 1

IdentifierTypeStateIssuer
004128791MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1407030489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011805",
            "telephone_number": "203-735-0055",
            "fax_number": "203-735-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011805",
            "telephone_number": "203-735-0055",
            "fax_number": "203-735-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIENNE DUDZIS, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "DUDZIS",
        "authorized_official_first_name": "JULIENNE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "203-735-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "000583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004128791",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.