Family Foot Care and Surgery, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000509 Issued in CT

Legal business name

FAMILY FOOT CARE AND SURGERY, LLC

Practice address

247 Broad St Ste 3
Milford, CT 06460-3273

Phone

(203) 876-7736

NPI assigned

Jan 16, 2008

Last updated

Oct 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Rudy

Title

Admin

Phone

(850) 353-2396

Specialties & licenses 2

Addresses

Other identifiers 8

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nili T Harpaz, DPM

  • Podiatrist
  • Milford, CT
  • NPI 1205479243
  Medicare reassignment Care Compare group NPD
• Sanjay Patel, D.P.M.

  • Podiatrist
  • Milford, CT
  • NPI 1053335083
  Medicare reassignment Care Compare group NPD
• Ian J Richter, DPM

  • Foot & Ankle Surgery Podiatrist
  • Milford, CT
  • NPI 1164983052
  Medicare reassignment Care Compare group NPD
• Amber Breaux Poirot, DPM

  • Podiatrist
  • Metairie, LA
  • NPI 1275885295
  NPD

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1467638817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BROAD ST STE 3",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 BROAD ST STE 3",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603273",
            "telephone_number": "203-876-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CARE AND SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "RUDY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "850-353-2396"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": "000509",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004099257",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "030000509CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V2611",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "030000509CT05",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "2885050004",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "000509J185",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "NHS138",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480035180",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spatel@familyfootcare.sammyehrdirect.com",
            "affiliation": "N",
            "address_1": "309 Seaside Ave",
            "address_2": "Suite 202",
            "city": "Milford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064604625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eye Physicians & Surgeons, PC
• Fairfield Pediatric Dentistry
• Patricia Falcione
• Dana Falkenstein, LCSW
• Family Dental Group Milford LLC
• Jiawei Fan, D.C.
• Jeanne Fanizzi
• Omar S. Faridi, M.D.
• Judith X Faulkner, M.D
• Alexandra Monet Favret

• Foot & Ankle Surgery Podiatrist in Milford, CT
• Providers in Milford, CT by specialty
• Foot & Ankle Surgery Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.