Organization Active NPI

Npa Cape Ann Foot and Ankle LLC

  • Podiatrist
  • Gloucester, MA
National Provider Identifier
1982176806
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230303000135 MA Part B Supplier - Clinic/Group Practice 5193198679 Receives reassigned benefits from 1 practitioner
Practice locations: Gloucester, MA
O20230525001212 MA DME Supplier - Physician - Podiatry 5193198679 Practice locations: Gloucester, MA

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.

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.

Verify at the official NPI Registry.