Active NPI
Lee M. Hurney, D.P.M.
- Podiatrist
- Branford, CT
National Provider Identifier
1629067889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000087
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480001047 | Other | CT | ST 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000087 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Raphael Healthcare System Affiliated Physicians Inc | Past | Accepting new patients | |
| Jeffrey T. Novak, DPM, PC | Past | 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.
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- NPI 1932138138
-
- Neurology Physician
- New Haven, CT
- NPI 1063744001
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.