Organization Active NPI

Nashua Podiatry Associates, PLLC

  • Podiatrist
  • Nashua, NH
National Provider Identifier
1720103864
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NH166 Issued in NH
Legal business name
NASHUA PODIATRY ASSOCIATES, PLLC
Practice address
166 Kinsley St
Ste 201
Nashua, NH 03060-3676
Phone
(603) 880-9177
Fax
(603) 880-9672
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Mr. David Ross Kosofsky, DPM
Title
Direct Owner
Phone
(603) 880-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X NH166 NH Primary

Addresses

Primary practice location

166 Kinsley St
Ste 201
Nashua, NH 03060-3676

Mailing address

166 Kinsley St
Ste 201
Nashua, NH 03060-3676
Phone (603) 880-9177

Other identifiers 4

IdentifierTypeStateIssuer
30364139MedicaidNH
30364154MedicaidNH
30364153MedicaidNH
DC3586OtherNHPALMETTO GBA RAILROAD MEDICARE

National Provider Directory

National Provider Directory

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1720103864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 KINSLEY ST",
            "address_2": "STE 201",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603676",
            "telephone_number": "603-880-9177",
            "fax_number": "603-880-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 KINSLEY ST",
            "address_2": "STE 201",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603676",
            "telephone_number": "603-880-9177",
            "fax_number": "603-880-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHUA PODIATRY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "KOSOFSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "603-880-9177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NH",
            "license": "NH166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30364139",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30364154",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30364153",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "DC3586",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.