Organization Active NPI

Footcare Associates LLC

  • Primary Podiatric Medicine Podiatrist
  • Bridgeport, CT
National Provider Identifier
1497951099
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
000706 Issued in CT
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

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Dr. Robert Schwartz, DPMNPI 1083757678
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)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20111117000070 CT Part B Supplier - Clinic/Group Practice 7810196383 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeport, CT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.