Active NPI
Northern Podiatry Associates
- Podiatrist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- NORTHERN PODIATRY ASSOCIATES
- Practice address
- 1153 Centre St
Suite 5980
Boston, MA 02130-3446 - Phone
- (617) 983-1900
- Fax
- (617) 983-8122
- NPI assigned
- Jun 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramiro J Manzano, D.P.M.
- Title
- Physician
- Phone
- (671) 983-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
1153 Centre St
Suite 5980
Boston, MA 02130-3446
Mailing address
1153 Center Street
Suite 5980
Boston, MA 02130-3446
Phone (617) 983-1900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2428484 | Other | AETNA | |
| 611767 | Other | TUFTS | |
| Y77179 | Other | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1153 Centre St
Ste 5980
Boston, MA 02130
Phone (617) 983-1900
140 Commonwealth Ave
Ste 205
Danvers, MA 01923
Phone (978) 777-5188
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Danvers, MA
- NPI 1124033907
-
- Foot Surgery Podiatrist
- Marlborough, MA
- NPI 1154385078
-
- Family Medicine Physician
- Middleton, MA
- NPI 1134138555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329091200000",
"number": "1962439240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 CENTER STREET",
"address_2": "SUITE 5980",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-983-1900",
"fax_number": "617-983-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"address_2": "SUITE 5980",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-983-1900",
"fax_number": "617-983-8122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN PODIATRY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2012-02-13",
"status": "A",
"authorized_official_last_name": "MANZANO",
"authorized_official_first_name": "RAMIRO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "671-983-1900",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2428484",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "611767",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "Y77179",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.