Organization Active NPI

Ronald G Lavenda DPM Associates PC

  • Foot Surgery Podiatrist
  • West Bridgewater, MA
National Provider Identifier
1407035116
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
RONALD G LAVENDA DPM ASSOCIATES PC
Practice address
202 W Center St
West Bridgewater, MA 02379
Phone
(508) 580-1368
NPI assigned
Oct 30, 2007
Reactivated
May 11, 2009
Organization subpart
Yes
Parent organization
RONALD G LAVENDA DPM ASSOCIATES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Ronald G Lavenda, DPMNPI 1003812280
Title
President
Phone
(508) 580-1368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X MA Primary
Customized Equipment (DME) 332BC3200X MA

Addresses

Primary practice location

202 W Center St
West Bridgewater, MA 02379

Mailing address

39 Brownlea Rd
Framingham, MA 01701-4253
Phone (508) 580-1368

Other identifiers 2

IdentifierTypeStateIssuer
9737014MedicaidMA
Y77031OtherMABSBC

National Provider Directory

National Provider Directory
Part of
Ronald G Lavenda DPM a

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1407035116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BROWNLEA RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014253",
            "telephone_number": "508-580-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W CENTER ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "02379",
            "telephone_number": "508-580-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD G LAVENDA DPM ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RONALD G LAVENDA DPM ASSOCIATES PC",
        "enumeration_date": "2007-10-30",
        "last_updated": "2009-05-11",
        "deactivation_date": "2009-02-26",
        "reactivation_date": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "LAVENDA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-580-1368",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9737014",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBC",
            "identifier": "Y77031",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.