Active NPI
Foot Specialists of New England PLLC
Doing business as Foot Specialists of New England -Quincy
- Primary Podiatric Medicine Podiatrist
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- FOOT SPECIALISTS OF NEW ENGLAND PLLC
- Doing business as
- Foot Specialists of New England -Quincy
- Practice address
- 1261 Furnace Brook Pkwy Ste 18
Quincy, MA 02169-4762 - Phone
- (617) 773-4300
- Fax
- (617) 773-4301
- NPI assigned
- Jul 5, 2022
- Last updated
- Jul 5, 2022
- Organization subpart
- Yes
- Parent organization
- FOOT SPECIALISTS OF NEW ENGLAND PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James A Anderson Jr., DPM
- Title
- Ceo
- Phone
- (781) 516-4700
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | ||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | NU | Primary | |
| Sports Medicine Podiatrist | 213ES0000X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | ||
| Foot Surgery Podiatrist | 213ES0131X | NU |
Addresses
Primary practice location
1261 Furnace Brook Pkwy Ste 18
Quincy, MA 02169-4762
Mailing address
20 Hope Ave Ste 102
Waltham, MA 02453-2717
Phone (781) 516-4700
Other names 1
- Foot Specialists of New England -Quincy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220413002155 | MA | Part B Supplier - Clinic/Group Practice | 4880080142 |
Receives reassigned benefits from 9 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Quincy, MA; Sandwich, MA; Waltham, MA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Foot Specialist of New England - Sandwich
- Primary Podiatric Medicine Podiatrist
- Sandwich, MA
- NPI 1174256374
O20220413002155
-
- Primary Podiatric Medicine Podiatrist
- Waltham, MA
- NPI 1659023026
O20220413002155
National Provider Directory
National Provider Directory- Tax ID family
- Foot Specialists of New England PLLC
- Part of
- Foot Specialists of New England PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Foot Specialist of New England - Sandwich
- Primary Podiatric Medicine Podiatrist
- Sandwich, MA
- NPI 1174256374
Locations
20 Hope Ave
Ste 102
Waltham, MA 02453
Phone (617) 244-5355
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Primary Podiatric Medicine Podiatrist
- Waltham, MA
- NPI 1659023026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656979200000",
"number": "1922731124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HOPE AVE STE 102",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532717",
"telephone_number": "781-516-4700",
"fax_number": "781-701-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 FURNACE BROOK PKWY STE 18",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694762",
"telephone_number": "617-773-4300",
"fax_number": "617-773-4301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT SPECIALISTS OF NEW ENGLAND PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOOT SPECIALISTS OF NEW ENGLAND PLLC",
"enumeration_date": "2022-07-05",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "781-516-4700",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foot Specialists of New England -Quincy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.