Active NPI
Foot and Ankle Specialists of the Mid-Atlantic LLC
- Durable Medical Equipment & Medical Supplies
- Waterbury, CT
National Provider Identifier
1760660641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 548
- Legal business name
- FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC
- Practice address
- 714 Chase Pkwy
Suite 4
Waterbury, CT 06708-3012 - Phone
- (203) 755-0489
- Fax
- (203) 755-7523
- NPI assigned
- Feb 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Tritto
- Title
- DPM/Owner
- Phone
- (301) 933-7133
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 548 | CT | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 548 | CT |
Addresses
Primary practice location
714 Chase Pkwy
Suite 4
Waterbury, CT 06708-3012
Mailing address
714 Chase Pkwy
Suite 4
Waterbury, CT 06708-3012
Phone (203) 755-0489
Other names 1
- Chase Parkway Podiatry
National Provider Directory
National Provider Directory- Tax ID family
- Foot and Ankle Specialists of the Mid-Atlantic LLC
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Durable Medical Equipment & Medical Supplies
- Newtown, CT
- NPI 1821218728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1760660641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 CHASE PKWY",
"address_2": "SUITE 4",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083012",
"telephone_number": "203-755-0489",
"fax_number": "203-755-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 CHASE PKWY",
"address_2": "SUITE 4",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083012",
"telephone_number": "203-755-0489",
"fax_number": "203-755-7523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-04",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A",
"authorized_official_last_name": "TRITTO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "DPM/OWNER",
"authorized_official_telephone_number": "301-933-7133"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CT",
"license": "548",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CT",
"license": "548",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chase Parkway Podiatry",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Chase Parkway Podiatry",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.