Active NPI
Board Certified Footcare LLC
- Podiatrist
- Southborough, MA
National Provider Identifier
1467096701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- BOARD CERTIFIED FOOTCARE LLC
- Practice address
- 77 Turnpike Rd
Southborough, MA 01772-2110 - Phone
- (508) 226-8070
- NPI assigned
- Oct 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia McLaughlin
- Title
- Office Manager
- Phone
- (508) 226-8070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
77 Turnpike Rd
Southborough, MA 01772-2110
Mailing address
140 Park St Ste 1
Attleboro, MA 02703-8048
Phone (508) 226-8070
Other names 1
- Paula Angelini, DPM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200625002303 | MA | DME Supplier - Physician - Podiatry | 8325473135 | Practice locations: Southborough, MA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Board Certified Footcare LL
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Foxborough, MA
- NPI 1356136154
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Lincoln, MA
- NPI 1326068396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657843200000",
"number": "1467096701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 PARK ST STE 1",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027038048",
"telephone_number": "508-226-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 TURNPIKE RD",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017722110",
"telephone_number": "508-226-8070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOARD CERTIFIED FOOTCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-30",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A",
"authorized_official_last_name": "MCLAUGHLIN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "508-226-8070",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paula Angelini, DPM",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Paula Angelini, DPM",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.