Organization Active NPI

Connecticut Foot Care Centers LLC

  • Podiatrist
  • Newington, CT
National Provider Identifier
1750446399
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CONNECTICUT FOOT CARE CENTERS LLC
Practice address
505 Willard Ave
Newington, CT 06111-2650
Phone
(860) 666-2078
Fax
(860) 665-8247
NPI assigned
Dec 26, 2006
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Jeffrey Steven Kahn, D.P.M.NPI 1609931245
Title
Managing Partner
Phone
(860) 563-1200

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
Podiatrist 213E00000X Primary

Addresses

Primary practice location

505 Willard Ave
Newington, CT 06111-2650

Mailing address

PO Box 37
Rocky Hill, CT 06067-0037
Phone (860) 563-1200

Other identifiers 2

IdentifierTypeStateIssuer
C01816OtherCTMEDICARE GROUP PTAN
C01817OtherCTMEDICARE GROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071030000485 CT Part B Supplier - Clinic/Group Practice 7517054067 Receives reassigned benefits from 6 practitioners
Practice locations: Newington, CT

National Provider Directory

National Provider Directory

Locations

51 Burlington Ave
Bristol, CT 06010
Phone (860) 582-0747

1247 Main St
Newington, CT 06111
Phone (860) 665-9276

505 Willard Ave
Ste D
Newington, CT 06111
Phone (860) 665-2078

506 Cromwell Ave
Ste 204
Rocky Hill, CT 06067
Phone (860) 563-1200

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1750446399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060670037",
            "telephone_number": "860-563-1200",
            "fax_number": "860-563-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112650",
            "telephone_number": "860-666-2078",
            "fax_number": "860-665-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT FOOT CARE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "860-563-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C01816",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C01817",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.