NPIMap

Organization Active NPI

Milford Podiatry Associates, P.C.

  • Podiatrist
  • Milford, CT
National Provider Identifier
1437347754
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MILFORD PODIATRY ASSOCIATES, P.C.
Practice address
32 Cherry St
Milford, CT 06460-3429
Phone
(203) 874-6755
Fax
(203) 877-7849
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Victoria Allen
Title
Credentialling Coordinator
Phone
(203) 874-6755

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

32 Cherry St
Milford, CT 06460-3429

Mailing address

32 Cherry St
Milford, CT 06460-3429
Phone (203) 874-6755

Other identifiers 4

IdentifierTypeStateIssuer
0706090003OtherCTMEDICARE DMERC
C13287OtherCTRAILROAD MEDICARE PIN
C13281OtherCTRAILROAD MEDICARE PIN
CB1640OtherCTRAILROAD MEDICARE PIN

Other names 1

  • NEW HAVEN FOOT SURGEONS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071217000067 CT Part B Supplier - Clinic/Group Practice 8123118056 Receives reassigned benefits from 4 practitioners
Practice locations: Hamden, CT; Stratford, CT; New Haven, CT; Milford, CT
O20100930090443 CT DME Supplier - Physician - Podiatry 8123118056 Practice locations: Milford, CT

National Provider Directory

National Provider Directory

Locations

2880 Old Dixwell Ave
Hamden, CT 06518
Phone (203) 248-6365

Practitioners & affiliated clinicians

Practitioners 4

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": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1437347754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603429",
            "telephone_number": "203-874-6755",
            "fax_number": "203-877-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603429",
            "telephone_number": "203-874-6755",
            "fax_number": "203-877-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD PODIATRY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CREDENTIALLING COORDINATOR",
        "authorized_official_telephone_number": "203-874-6755"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0706090003",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "C13287",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "C13281",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CB1640",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW HAVEN FOOT SURGEONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.