Mt Podiatry, LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

000829 Issued in CT

Legal business name

MT PODIATRY, LLC

Practice address

1021 Asylum Ave
Apt 407
Hartford, CT 06105-2436

Phone

(860) 992-2214

NPI assigned

May 19, 2011

Organization subpart

No

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

Authorized official

Name

Mohamed Teleb, DPM

Title

Owner

Phone

(860) 992-2214

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1588957872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 ASYLUM AVE",
            "address_2": "APT 407",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 ASYLUM AVE",
            "address_2": "APT 407",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052436",
            "telephone_number": "860-992-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "TELEB",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-992-2214",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CT",
            "license": "000829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mowry, LCSW
• Tiffany Christine Moy, MD
• Manuel Alfredo Moya Tapia, M.D.
• Denise Evette Mozone Marshall, DNP,APRN,CPNP-PC
• Alexandra Mpitsos, CRNA
• Pongsa-Pyn Muangman, M.D.
• Sarah Ann Mucci, LCSW
• Kathryn Ann Muccino, PNP
• Carole M Mucha, LCSW, LMFT
• Theodore F Mucha, M.D.

• Primary Podiatric Medicine Podiatrist in Hartford, CT
• Providers in Hartford, CT by specialty
• Primary Podiatric Medicine Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.