Individual provider Active NPI

Howard Wayne Harinstein, DPM

  • Podiatrist
  • Bridgeport, CT
National Provider Identifier
1750507141
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
CT00081 Issued in CT
Practice address
4695 Main Street
Bridgeport, CT 06606-1802
Phone
(203) 334-6878
Fax
(203) 373-1372
NPI assigned
Apr 17, 2007
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X CT00081 CT Primary

Addresses

Primary practice location

4695 Main Street
Bridgeport, CT 06606-1802

Mailing address

4695 Main Street
Bridgeport, CT 06606-1802
Phone (203) 334-6878

Other identifiers 1

IdentifierTypeStateIssuer
004006375MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000081CTMDAddiction (Substance Use Disorder) Counselor
CT00081CTMDPodiatrist
00081CTMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1750507141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 MAIN STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061802",
            "telephone_number": "203-334-6878",
            "fax_number": "203-373-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MAIN STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061802",
            "telephone_number": "203-334-6878",
            "fax_number": "203-373-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARINSTEIN",
        "first_name": "HOWARD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "CT00081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004006375",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.