Organization Active NPI

West Connecticut Podiatry, LLC

  • Podiatrist
  • Danbury, CT
National Provider Identifier
1750308672
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000765 Issued in CT
Legal business name
WEST CONNECTICUT PODIATRY, LLC
Practice address
235 Main St
Suite #105
Danbury, CT 06810-6673
Phone
(203) 730-0009
Fax
(203) 743-0455
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Dr. Richard Gosnay, DPMNPI 1588611792
Title
Podiatrist
Phone
(203) 730-0009

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 000765 CT Primary

Addresses

Primary practice location

235 Main St
Suite #105
Danbury, CT 06810-6673

Mailing address

235 Main St
Suite # 105
Danbury, CT 06810-6673
Phone (203) 730-0009

Other identifiers 1

IdentifierTypeStateIssuer
008039797MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130516000169 CT Part B Supplier - Clinic/Group Practice 4385670066 Receives reassigned benefits from 1 practitioner
Practice locations: Danbury, CT

National Provider Directory

National Provider Directory

Locations

235 Main St
Ste 105
Danbury, CT 06810
Phone (203) 730-0009

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1750308672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "address_2": "SUITE # 105",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106673",
            "telephone_number": "203-730-0009",
            "fax_number": "203-743-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "address_2": "SUITE #105",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106673",
            "telephone_number": "203-730-0009",
            "fax_number": "203-743-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CONNECTICUT PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "GOSNAY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "203-730-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008039797",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.