NPIMap

Organization Active NPI

New England Podiatry Needham, PC

  • Foot Surgery Podiatrist
  • Newton, MA
National Provider Identifier
1669515706
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1948 Issued in MA
Legal business name
NEW ENGLAND PODIATRY NEEDHAM, PC
Practice address
2000 Washington St
Green BLDG, Ste 470
Newton, MA 02462-1650
Phone
(617) 630-8280
Fax
(617) 630-9025
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Dr. Ronald Brian Etskovitz, D.P.M.
Title
Podiatrist
Phone
(617) 630-8280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 1948 MA Primary

Addresses

Primary practice location

2000 Washington St
Green BLDG, Ste 470
Newton, MA 02462-1650

Mailing address

PO Box 18743
Belfast, ME 04915-4082
Phone (617) 630-8280

National Provider Directory

National Provider Directory

Locations

2000 Washington St
Ste 4
Newton Lower Falls, MA 02462

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1669515706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18743",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154082",
            "telephone_number": "617-630-8280",
            "fax_number": "617-630-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "GREEN BLDG, STE 470",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-630-8280",
            "fax_number": "617-630-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND PODIATRY NEEDHAM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "ETSKOVITZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "617-630-8280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "1948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.