NPIMap

Organization Active NPI

Affiliates in Foot Care, PC

  • Foot Surgery Podiatrist
  • Stoneham, MA
National Provider Identifier
1962475392
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1860 Issued in MA
Legal business name
AFFILIATES IN FOOT CARE, PC
Practice address
3 Woodland Rd
Suite 411
Stoneham, MA 02180-1702
Phone
(781) 979-0919
Fax
(781) 979-0334
NPI assigned
Feb 8, 2006
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Peter C Paicos Jr., DPMNPI 1578596169
Title
President
Phone
(781) 979-0919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1860 MA Primary

Addresses

Primary practice location

3 Woodland Rd
Suite 411
Stoneham, MA 02180-1702

Mailing address

3 Woodland Rd
Suite 411
Stoneham, MA 02180-1702
Phone (781) 979-0919

Other identifiers 10

IdentifierTypeStateIssuer
87831OtherMAAETNA
7820474OtherMAAETNA
B20539501OtherMACIGNA
710674OtherMATUFTS INDIVIDUAL
67220OtherMAHEALTH SOURCE
002200OtherMATUFTS INDIVIDUAL
2704470OtherMAHEALTHCARE VALUE MGMT
33199OtherMAHARVARD PILGRIM
334202OtherMAHARVARD PILGRIM
720289OtherMATUFTS GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060405000433 MA Part B Supplier - Clinic/Group Practice 4688682461 Receives reassigned benefits from 4 practitioners
Practice locations: Woburn, MA
O20100930062032 MA DME Supplier - Physician - Podiatry 4688682461 Practice locations: Woburn, MA

National Provider Directory

National Provider Directory
Tax ID family
Affiliates in Foot Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3 Woodland Rd
Ste 411
Stoneham, MA 02180
Phone (781) 979-0919

100 Unicorn Park Dr
Ste 3
Woburn, MA 01801
Phone (781) 979-0919

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1962475392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 411",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-979-0919",
            "fax_number": "781-979-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 411",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-979-0919",
            "fax_number": "781-979-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATES IN FOOT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "PAICOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-979-0919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "1860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "87831",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7820474",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B20539501",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS INDIVIDUAL",
            "identifier": "710674",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SOURCE",
            "identifier": "67220",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS INDIVIDUAL",
            "identifier": "002200",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE VALUE MGMT",
            "identifier": "2704470",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "33199",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "334202",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP",
            "identifier": "720289",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.