NPIMap

Organization Active NPI

Foot & Ankle Associates

  • Foot & Ankle Surgery Podiatrist
  • Winthrop, MA
National Provider Identifier
1790841385
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1786 Issued in MA
Legal business name
FOOT & ANKLE ASSOCIATES
Practice address
2 Chamberlain Ave Unit 2
Winthrop, MA 02152-1021
Phone
(617) 846-2609
Fax
(617) 846-3513
NPI assigned
Dec 28, 2006
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Mr. Dominick Garibaldi, DPMNPI 1457341257
Title
Ceo
Phone
(617) 846-2609

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1786 MA Primary

Addresses

Primary practice location

2 Chamberlain Ave Unit 2
Winthrop, MA 02152-1021

Mailing address

2 Chamberlain Ave Unit 2
Winthrop, MA 02152-1021
Phone (617) 846-2609

Other identifiers 5

IdentifierTypeStateIssuer
0009082OtherMANEIGHBORHOOD HEALTH PLAN
33595OtherMAHARVARD PILGRIM HEALTH CA
603200OtherMATUFTS HEALTH PLAN
04776OtherMAAETNA
Y77163OtherMABLUE SHEILD OF MA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060404000150 MA Part B Supplier - Clinic/Group Practice 3779591615 Receives reassigned benefits from 4 practitioners
Practice locations: Winthrop, MA

National Provider Directory

National Provider Directory

Locations

50 Crest Ave
Winthrop, MA 02152
Phone (617) 846-2609

Practitioners & affiliated clinicians

Practitioners 5

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1790841385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHAMBERLAIN AVE UNIT 2",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521021",
            "telephone_number": "617-846-2609",
            "fax_number": "617-846-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHAMBERLAIN AVE UNIT 2",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521021",
            "telephone_number": "617-846-2609",
            "fax_number": "617-846-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "GARIBALDI",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-846-2609",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0009082",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "33595",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "603200",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "04776",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD OF MA",
            "identifier": "Y77163",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.