Organization Active NPI

Connecticut Podiatry Group,P.C.

  • Foot & Ankle Surgery Podiatrist
  • East Haven, CT
National Provider Identifier
1972974830
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CONNECTICUT PODIATRY GROUP,P.C.
Practice address
128 Saltonstall Pkwy
East Haven, CT 06512-2425
Phone
(203) 467-8606
Fax
(203) 467-7256
NPI assigned
Oct 16, 2015
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Mark DaddioNPI 1295729424
Title
Partner
Phone
(203) 933-8606

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 & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

128 Saltonstall Pkwy
East Haven, CT 06512-2425

Mailing address

385 Main St
West Haven, CT 06516-4312
Phone (203) 933-8606

National Provider Directory

National Provider Directory

Locations

128 Saltonstall Pkwy
East Haven, CT 06512
Phone (203) 467-8606

385 Main St
Ste 10
West Haven, CT 06516
Phone (203) 933-8606

Practitioners & affiliated clinicians

Practitioners 1

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": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1972974830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164312",
            "telephone_number": "203-933-8606",
            "fax_number": "203-932-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SALTONSTALL PKWY",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122425",
            "telephone_number": "203-467-8606",
            "fax_number": "203-467-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT PODIATRY GROUP,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "DADDIO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-933-8606"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.