Organization Active NPI

Foot Specialists of New England PLLC

Doing business as Foot Specialists of New England -Quincy

  • Primary Podiatric Medicine Podiatrist
  • Quincy, MA
National Provider Identifier
1922731124
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT SPECIALISTS OF NEW ENGLAND PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Foot Specialists of New England PLLC2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.