Organization Active NPI

North Bridge Podiatry Group, P.C.

  • Primary Podiatric Medicine Podiatrist
  • Concord, MA
National Provider Identifier
1609831023
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
MA1967 Issued in MA
Legal business name
NORTH BRIDGE PODIATRY GROUP, P.C.
Practice address
1732 Main St
Concord, MA 01742-3837
Phone
(978) 369-2665
Fax
(978) 371-9914
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Gregory D. Catalano, D.P.M.
Title
Owner
Phone
(978) 369-2665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X MA1967 MA Primary

Addresses

Primary practice location

1732 Main St
Concord, MA 01742-3837

Mailing address

1732 Main St
Concord, MA 01742-3837
Phone (978) 369-2665

Other identifiers 3

IdentifierTypeStateIssuer
NOY77264OtherMABLUE SHIELD OF MA
59939OtherMAFALLON HEALTH PLAN
667826OtherMATUFTS HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

59 Ornac
#2
Concord, MA 01742
Phone (978) 287-0700

359 Littleton Rd
Ste 2B
Westford, MA 01886

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": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1609831023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423837",
            "telephone_number": "978-369-2665",
            "fax_number": "978-371-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423837",
            "telephone_number": "978-369-2665",
            "fax_number": "978-371-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BRIDGE PODIATRY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "CATALANO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-369-2665",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MA",
            "license": "MA1967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MA",
            "identifier": "NOY77264",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH PLAN",
            "identifier": "59939",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "667826",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.