Active NPI
Peter J Tortora
- Podiatrist
- Greenwich, CT
National Provider Identifier
1477621787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000210
- Practice address
- 46 Milbank Ave
Greenwich, CT 06830 - Phone
- (203) 869-2022
- Fax
- (203) 869-2027
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000210 | CT | Primary |
Addresses
Primary practice location
46 Milbank Ave
Greenwich, CT 06830
Mailing address
46 Milbank Ave
Greenwich, CT 06830
Phone (203) 869-2022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004005799 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000210 | CT | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1477621787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 MILBANK AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "06830",
"telephone_number": "203-869-2022",
"fax_number": "203-869-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 MILBANK AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "06830",
"telephone_number": "203-869-2022",
"fax_number": "203-869-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORTORA",
"first_name": "PETER",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "000210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004005799",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.