Individual provider Active NPI

Jeffrey Steven Kahn, D.P.M.

  • Podiatrist
  • Rocky Hill, CT
National Provider Identifier
1609931245
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00092 Issued in CT
Practice address
506 Cromwell Ave
Rocky Hill, CT 06067-1851
Phone
(860) 563-1200
Fax
(860) 563-2665
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00092 CT Primary

Addresses

Primary practice location

506 Cromwell Ave
Rocky Hill, CT 06067-1851

Mailing address

506 Cromwell Ave
Rocky Hill, CT 06067-1851
Phone (860) 563-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20100507000050 CT Practitioner - Podiatry 3678660123 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00092CTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Foot Care Centers LLC Podiatrist CurrentSince Mar 1, 1995 Accepting new patients
Connecticut Foot Care Centers LLC Podiatrist CurrentSince Aug 4, 1995 Accepting new patients
Connecticut Foot Care Centers LLC Podiatrist Past Accepting new patients

Locations

505 Willard Ave
Ste D
Newington, CT 06111
Phone (860) 665-2078

506 Cromwell Ave
Ste 204
Rocky Hill, CT 06067
Phone (860) 563-1200

506 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 529-1287

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1609931245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CROMWELL AVE",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671851",
            "telephone_number": "860-563-1200",
            "fax_number": "860-563-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 CROMWELL AVE",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671851",
            "telephone_number": "860-563-1200",
            "fax_number": "860-563-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "JEFFREY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "00092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.