Daniel Joseph Hallissy, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MA2135 Issued in MA

Practice address

52 Crest Ave
Winthrop, MA 02152-1064

Phone

(617) 539-0197

Fax

(617) 539-0669

NPI assigned

Mar 7, 2007

Last updated

Jun 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Dorothy a McCarthy PC

  • Durable Medical Equipment & Medical Supplies
  • Hyde Park, MA
  • NPI 1487828935
  NPD (past)
• Edward T Hurwitz DPM PC

  • Primary Podiatric Medicine Podiatrist
  • South Boston, MA
  • NPI 1205042397
  NPD (past)
• Waterview Lodge LLC

  • Skilled Nursing Facility
  • Ashland, MA
  • NPI 1861865065
  NPD (past)
• Vohra Post Acute Care Physicians of the Northeast PA

  • Family Medicine Physician
  • Bryn Mawr, PA
  • NPI 1275969131
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1609906478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SLAYTON RD",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021764222",
            "telephone_number": "781-662-6196",
            "fax_number": "617-361-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CREST AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521064",
            "telephone_number": "617-539-0197",
            "fax_number": "617-539-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLISSY",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "MA2135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326526",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Goldberg, D.C.
• Megan Marie Gomes, RN
• Jordan Griffiths
• Laverne D Gugino, MD
• Aditi Gupta
• April Halloran, RN
• Brenda Hammerstrom
• Lisa Marie Hansen, M.D.
• Harbor and Oaks Counseling LLC
• Erin Harrison, LMHC

• Podiatrist in Winthrop, MA
• Providers in Winthrop, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.