Organization Active NPI

Gentle Foot and Wound Care, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norwood, MA
National Provider Identifier
1417637406
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
GENTLE FOOT AND WOUND CARE, LLC
Practice address
1410 Boston Providence Tpke Ste 106
Norwood, MA 02062-5023
Phone
(617) 230-3858
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Marie Cantave-Ayer
Title
Ceo
Phone
(617) 230-3858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

1410 Boston Providence Tpke Ste 106
Norwood, MA 02062-5023

Mailing address

1410 Boston Providence Tpke Ste 106
Norwood, MA 02062-5023
Phone (617) 230-3858

National Provider Directory

National Provider Directory

Locations

1410 Boston Providence Tpke
Ste 106
Norwood, MA 02062
Phone (617) 230-3858

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1417637406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BOSTON PROVIDENCE TPKE STE 106",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625023",
            "telephone_number": "617-230-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BOSTON PROVIDENCE TPKE STE 106",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625023",
            "telephone_number": "617-230-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FOOT AND WOUND CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "CANTAVE-AYER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-230-3858"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.