Organization Active NPI

New Haven Family Foot Care and Surgery,LLC

  • Podiatric Clinic/Center
  • New Haven, CT
National Provider Identifier
1700313814
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
000817 Issued in CT
Legal business name
NEW HAVEN FAMILY FOOT CARE AND SURGERY,LLC
Practice address
136 Sherman Ave Ste 503
New Haven, CT 06511-5210
Phone
(203) 691-9052
Fax
(475) 238-8029
NPI assigned
May 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Aparna Singh ChauhanNPI 1417990136
Title
Physician
Phone
(617) 721-8896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Podiatric Clinic/Center 261QP1100X 000817 CT Primary

Addresses

Primary practice location

136 Sherman Ave Ste 503
New Haven, CT 06511-5210

Mailing address

136 Sherman Ave Ste 503
New Haven, CT 06511-5210
Phone (203) 691-9052

Other identifiers 2

IdentifierTypeStateIssuer
632745OtherCTCONNECTICARE
004270998MedicaidCT

Other names 1

  • Family Foot Cate and Surgery of Ridgefield Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170713003532 CT Part B Supplier - Clinic/Group Practice 5092085605 Receives reassigned benefits from 1 practitioner
Practice locations: Hamden, CT
O20171116001386 CT DME Supplier - Physician - Podiatry 5092085605 Practice locations: Hamden, CT

National Provider Directory

National Provider Directory

Locations

2440 Whitney Ave
Ste 213
Hamden, CT 06518
Phone (203) 859-5982

136 Sherman Ave
Ste 503
New Haven, CT 06511
Phone (203) 691-9052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1700313814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE STE 503",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115210",
            "telephone_number": "203-691-9052",
            "fax_number": "475-238-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE STE 503",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115210",
            "telephone_number": "203-691-9052",
            "fax_number": "475-238-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN FAMILY FOOT CARE AND SURGERY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "CHAUHAN",
        "authorized_official_first_name": "APARNA",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "617-721-8896"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CT",
            "license": "000817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "632745",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004270998",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Foot Cate and Surgery of Ridgefield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.