Organization Active NPI

The Center for Reconstructive Foot Surgery, P.C.

  • Foot & Ankle Surgery Podiatrist
  • New Britain, CT
National Provider Identifier
1497709885
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000090 Issued in CT
Legal business name
THE CENTER FOR RECONSTRUCTIVE FOOT SURGERY, P.C.
Practice address
1 Liberty SQ
New Britain, CT 06051-2637
Phone
(860) 229-2807
Fax
(860) 229-2812
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Dr. Gary P. Jolly, DPM
Title
Owner
Phone
(860) 229-2807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000090 CT Primary

Addresses

Primary practice location

1 Liberty SQ
New Britain, CT 06051-2637

Mailing address

1 Liberty SQ
New Britain, CT 06051-2637
Phone (860) 229-2807

National Provider Directory

National Provider Directory

Locations

1000 Asylum Ave
Ste 4303
Hartford, CT 06105
Phone (860) 229-2807

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1497709885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512637",
            "telephone_number": "860-229-2807",
            "fax_number": "860-229-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512637",
            "telephone_number": "860-229-2807",
            "fax_number": "860-229-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR RECONSTRUCTIVE FOOT SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-229-2807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.