Family Footcare, PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

FAMILY FOOTCARE, PC

Practice address

1183 New Haven Rd
Naugatuck, CT 06770-5033

Phone

(203) 723-7884

Fax

(203) 723-2946

NPI assigned

Feb 27, 2007

Last updated

Sep 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James M Dejesus, DPMNPI 1083727556

Title

Podiatrist

Phone

(203) 723-7884

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James M Dejesus, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naugatuck, CT
  • NPI 1083727556
  Medicare reassignment Care Compare group NPD Authorized official
• Betty M Carreira, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naugatuck, CT
  • NPI 1922308741
  Medicare reassignment Care Compare group NPD
• Austin Philip Davidow, DPM

  • Primary Podiatric Medicine Podiatrist
  • Naugatuck, CT
  • NPI 1770163909
  Medicare reassignment Care Compare group NPD
• Michelle Lynn Dejesus, DPM

  • Primary Podiatric Medicine Podiatrist
  • Naugatuck, CT
  • NPI 1033851886
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1699802090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 NEW HAVEN RD",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067705033",
            "telephone_number": "203-723-7884",
            "fax_number": "203-723-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 NEW HAVEN RD",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067705033",
            "telephone_number": "203-723-7884",
            "fax_number": "203-723-2946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Main St N Ste 104",
            "address_purpose": "LOCATION",
            "city": "Southbury",
            "state": "CT",
            "postal_code": "064882200",
            "country_code": "US",
            "telephone_number": "203-405-6501",
            "fax_number": "203-405-6504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Federal Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106162",
            "country_code": "US",
            "telephone_number": "203-792-3668",
            "fax_number": "203-796-7478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FOOTCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "203-723-7884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004225703",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004094554",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Embracing Paws LLC
• Francesca Esposito, LMFT
• Essential Care Agency LLC
• Eye Explore Your Essence LLC
• Family Footcare, PC
• Family Services of Greater Waterbury
• Svetlana Fedorova-Boyanowski
• Perseus Corre Fernandez
• Carina Michelle Ferreira
• Jessica Fico

• Primary Podiatric Medicine Podiatrist in Naugatuck, CT
• Providers in Naugatuck, CT by specialty
• Primary Podiatric Medicine Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.