Organization Active NPI

Greenwich Podiatry, Inc

  • Podiatrist
  • East Greenwich, RI
National Provider Identifier
1467530337
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GREENWICH PODIATRY, INC
Practice address
694 Main St
East Greenwich, RI 02818-3500
Phone
(401) 884-2821
Fax
(401) 884-4350
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Ms. Nancy Waterman, DPM
Title
Owner
Phone
(401) 884-2821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

694 Main St
East Greenwich, RI 02818-3500

Mailing address

694 Main St
East Greenwich, RI 02818-3500
Phone (401) 884-2821

Other identifiers 2

IdentifierTypeStateIssuer
0404OtherRINEIGHBORHOOD HEALTH PLANS
9004161MedicaidRI

National Provider Directory

National Provider Directory

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1467530337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183500",
            "telephone_number": "401-884-2821",
            "fax_number": "401-884-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183500",
            "telephone_number": "401-884-2821",
            "fax_number": "401-884-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH PODIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-884-2821",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLANS",
            "identifier": "0404",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004161",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.