Organization Active NPI

Candria Consulting and Holdings Inc,

  • Podiatrist
  • Somerville, MA
National Provider Identifier
1801383088
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
BL17-000173 Issued in MA
Legal business name
CANDRIA CONSULTING AND HOLDINGS INC,
Doing business as
Massachusetts Foot and Ankle Specialists
Practice address
53 Main St
Somerville, MA 02145-1448
Phone
(617) 629-2806
NPI assigned
Apr 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Pasquale Cancelliere, DPM
Title
Owner
Phone
(617) 629-2806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X BL17-000173 MA Primary

Addresses

Primary practice location

53 Main St
Somerville, MA 02145-1448

Mailing address

53 Main St
Somerville, MA 02145-1448
Phone (617) 629-2806

Other practice location 1

25 Buttrick Rd Ste D1
Londonderry, NH 03053-3353
Phone (603) 432-3668

Other names 1

  • Massachusetts Foot and Ankle Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

25 Buttrick Rd
Ste D1
Londonderry, NH 03053
Phone (603) 216-2972

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1801383088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MAIN ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451448",
            "telephone_number": "617-629-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MAIN ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451448",
            "telephone_number": "617-629-2806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Buttrick Rd Ste D1",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533353",
            "country_code": "US",
            "telephone_number": "603-432-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANDRIA CONSULTING AND HOLDINGS INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "CANCELLIERE",
        "authorized_official_first_name": "PASQUALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-629-2806",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "BL17-000173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massachusetts Foot and Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.