Joseph C Gaetani Jr., CERTIFIED PROSTHETIS

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

C52059 Issued in CT

Practice address

340 Broad Street Suite 320
Windsor, CT 06095

Phone

(860) 298-9900

Fax

(860) 298-9911

NPI assigned

Nov 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Med Prosthetics & Orthotics LLC

  • Prosthetist
  • Windsor, CT
  • NPI 1013488469
  NPD (past)

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1811467442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROAD STREET SUITE 320",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "06095",
            "telephone_number": "860-298-9900",
            "fax_number": "860-298-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROAD STREET SUITE 320",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "06095",
            "telephone_number": "860-298-9900",
            "fax_number": "860-298-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAETANI",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "CERTIFIED PROSTHETIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CT",
            "license": "C52059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siena Frick
• Sofya Fridjat
• Lendra Maxine Friesen, MS, PHD
• Belinda Frohock, COTA/L
• Stuart Spencer Furman
• Chantal Gagne
• Helena E. Gagnon
• Erica L Gallinat, SLP-CFY
• Andrea Lynn Gamble, MA CCC-SLP
• Robert Joseph Gange, DDS, MS

• Prosthetics Case Management in Windsor, CT
• Providers in Windsor, CT by specialty
• Prosthetics Case Management in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.