Active NPI
Npa Cape Ann Foot and Ankle LLC
- Podiatrist
- Gloucester, MA
National Provider Identifier
1982176806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- NPA CAPE ANN FOOT AND ANKLE LLC
- Practice address
- 5 Blackburn Ctr
Gloucester, MA 01930-2259 - Phone
- (978) 281-2550
- Fax
- (978) 325-9044
- NPI assigned
- Dec 18, 2018
- Organization subpart
- Yes
- Parent organization
- NORWOOD PODIATRY ASSOCIATES PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Dimambro
- Title
- Manager
- Phone
- (781) 762-4205
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
5 Blackburn Ctr
Gloucester, MA 01930-2259
Mailing address
5 Blackburn Ctr
Gloucester, MA 01930-2259
Phone (978) 281-2550
Other names 1
- Cape Ann Foot and Ankle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 2
National Provider Directory
National Provider Directory- Part of
- Norwood Podiatry Assoc
Locations
1 Blackburn Park
Ste 2
Gloucester, MA 01930
Phone (978) 281-2550
5 Blackburn Ctr
Gloucester, MA 01930
Phone (978) 281-1750
480 Washington St
Norwood, MA 02062
Phone (781) 255-7920
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Norwood, MA
- NPI 1003897034
-
- Chiropractor
- Norwood, MA
- NPI 1023295029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1982176806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BLACKBURN CTR",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302259",
"telephone_number": "978-281-2550",
"fax_number": "978-325-9044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BLACKBURN CTR",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302259",
"telephone_number": "978-281-2550",
"fax_number": "978-325-9044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NPA CAPE ANN FOOT AND ANKLE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORWOOD PODIATRY ASSOCIATES PC",
"enumeration_date": "2018-12-18",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "DIMAMBRO",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "781-762-4205"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cape Ann Foot and Ankle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.