West Hartford Podiatry Associates PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

107 Issued in CT

Legal business name

WEST HARTFORD PODIATRY ASSOCIATES PC

Practice address

2531 Albany Ave
West Hartford, CT 06117-2308

Phone

(860) 236-2564

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Harvey Lederman

Title

President

Phone

(860) 236-2564

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc A. Lederman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • West Hartford, CT
  • NPI 1538180054
  Medicare reassignment Care Compare group NPD
• Kurt Walter Rode, DPM

  • Podiatrist
  • West Hartford, CT
  • NPI 1740591072

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1841332772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 ALBANY AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 ALBANY AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172308",
            "telephone_number": "860-236-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HARTFORD PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "LEDERMAN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-236-2564"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Hartford Massage Clinic, LLC
• West Hartford Maxillofacial Surgery, PC
• West Hartford Medical Center
• West Hartford One Opco LLC
• West Hartford Pediatrics, LLC
• West Hartford Primary Care, LLC
• West Hartford Therapy Center LLC
• Paul B West, M.D.
• Samantha Sarah West, MSW INTERN
• Westside Chiropractic LLC

• Podiatrist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.