Robert Teraila, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POO363 Issued in CT

Practice address

190 Market SQ Rear
Newington, CT 06111-2913

Phone

(860) 666-7939

Fax

(860) 666-7897

NPI assigned

Feb 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1447429980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MARKET SQ REAR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112913",
            "telephone_number": "860-666-7939",
            "fax_number": "860-666-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MARKET SQ REAR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112913",
            "telephone_number": "860-666-7939",
            "fax_number": "860-666-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAILA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "POO363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Newington, CT
• Providers in Newington, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.