Organization Active NPI

Central Massachusetts Foot Specialists Inc.

  • Foot Surgery Podiatrist
  • Worcester, MA
National Provider Identifier
1528125663
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
2121 Issued in MA
Legal business name
CENTRAL MASSACHUSETTS FOOT SPECIALISTS INC.
Practice address
255 Park Ave
Suite 803
Worcester, MA 01609-1953
Phone
(508) 757-3803
Fax
(508) 757-8011
NPI assigned
Jan 1, 2007
Last updated
Dec 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Robert Joseph Greene, DPMNPI 1205843893
Title
Preseident
Phone
(508) 757-3803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 2121 MA Primary

Addresses

Primary practice location

255 Park Ave
Suite 803
Worcester, MA 01609-1953

Mailing address

255 Park Ave
Suite 803
Worcester, MA 01609-1953
Phone (508) 757-3803

Other identifiers 1

IdentifierTypeStateIssuer
9709690MedicaidMA

National Provider Directory

National Provider Directory

Locations

101 Stafford St
Worcester, MA 01603
Phone (508) 757-3803

255 Park Ave
Ste 803
Worcester, MA 01609
Phone (508) 757-3803

Practitioners & 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1528125663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 803",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-757-3803",
            "fax_number": "508-757-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 803",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-757-3803",
            "fax_number": "508-757-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MASSACHUSETTS FOOT SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "508-757-3803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "2121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9709690",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.