Active NPI
Footcare Associates LLC
- Primary Podiatric Medicine Podiatrist
- Bridgeport, CT
National Provider Identifier
1497951099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 000706
- Legal business name
- FOOTCARE ASSOCIATES LLC
- Practice address
- 2320 Main St
Bridgeport, CT 06606-5373 - Phone
- (203) 366-4506
- NPI assigned
- Jun 21, 2007
- 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. Robert Schwartz, DPM
- Title
- Owner
- Phone
- (203) 366-4506
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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 000706 | CT | Primary |
Addresses
Primary practice location
2320 Main St
Bridgeport, CT 06606-5373
Mailing address
2320 Main St
Bridgeport, CT 06606-5373
Phone (203) 366-4506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111117000070 | CT | Part B Supplier - Clinic/Group Practice | 7810196383 |
Receives reassigned benefits from 1 practitioner Practice locations: Bridgeport, CT |
National Provider Directory
National Provider DirectoryLocations
2320 Main St
Bridgeport, CT 06606
Phone (203) 366-4506
Practitioners & affiliated clinicians
Practitioners 1
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": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248048000000",
"number": "1497951099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065373",
"telephone_number": "203-366-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065373",
"telephone_number": "203-366-4506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOTCARE ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2009-07-20",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-366-4506",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CT",
"license": "000706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.