Active NPI
Associated Foot and Ankle Surgeons of New England, LLC
- Foot & Ankle Surgery Podiatrist
- Cambridge, MA
National Provider Identifier
1467759977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PD1920
- Legal business name
- ASSOCIATED FOOT AND ANKLE SURGEONS OF NEW ENGLAND, LLC
- Practice address
- 330 Mount Auburn St
Cambridge, MA 02138-5502 - Phone
- (617) 499-5065
- Fax
- (617) 321-4075
- NPI assigned
- Feb 17, 2011
- Last updated
- Feb 17, 2011
- 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
- Dr. Philip Basile, D.P.M.
- Title
- President
- Phone
- (888) 352-0082
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PD1920 | MA | Primary |
Addresses
Primary practice location
330 Mount Auburn St
Cambridge, MA 02138-5502
Mailing address
464 Common St # 307
Belmont, MA 02478-2704
Phone (888) 352-0082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0358053 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Cambridge, MA
- NPI 1316986342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297900800000",
"number": "1467759977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 COMMON ST # 307",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782704",
"telephone_number": "888-352-0082",
"fax_number": "617-321-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "617-499-5065",
"fax_number": "617-321-4075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED FOOT AND ANKLE SURGEONS OF NEW ENGLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-17",
"last_updated": "2011-02-17",
"status": "A",
"authorized_official_last_name": "BASILE",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-352-0082",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "PD1920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0358053",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.