Individual provider Active NPI

Lee M. Hurney, D.P.M.

  • Podiatrist
  • Branford, CT
National Provider Identifier
1629067889
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000087 Issued in CT
Practice address
125 Montowese St
Branford, CT 06405-3809
Phone
(203) 481-8969
Fax
(203) 483-8106
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000087 CT Primary
Durable Medical Equipment & Medical Supplies 332B00000X 000087 CT

Addresses

Primary practice location

125 Montowese St
Branford, CT 06405-3809

Mailing address

125 Montowese St
Branford, CT 06405-3809
Phone (203) 481-8969

Other identifiers 1

IdentifierTypeStateIssuer
480001047OtherCTST RAPHAEL FACULTY PHYSICIAN MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000087CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients
Jeffrey T. Novak, DPM, PC PastSince Dec 12, 2021 Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1629067889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MONTOWESE ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053809",
            "telephone_number": "203-481-8969",
            "fax_number": "203-483-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MONTOWESE ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053809",
            "telephone_number": "203-481-8969",
            "fax_number": "203-483-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURNEY",
        "first_name": "LEE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000087",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "000087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST RAPHAEL FACULTY PHYSICIAN MEDICARE",
            "identifier": "480001047",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.