NPIMap

Organization Active NPI

Mongare Foot & Ankle Care

  • Primary Podiatric Medicine Podiatrist
  • Manchester, CT
National Provider Identifier
1982961397
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
881 Issued in CT
Legal business name
MONGARE FOOT & ANKLE CARE
Practice address
117 E Center St
Manchester, CT 06040-5246
Phone
(860) 432-1358
Fax
(860) 432-1396
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Dr. Japheth Ogamba Mongare, DPM
Title
Podiatrist
Phone
(203) 606-2694

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X 881 CT Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 881 CT
Durable Medical Equipment & Medical Supplies 332B00000X 881 CT

Addresses

Primary practice location

117 E Center St
Manchester, CT 06040-5246

Mailing address

117 E Center St
Manchester, CT 06040-5246
Phone (860) 432-1358

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1982961397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405246",
            "telephone_number": "860-432-1358",
            "fax_number": "860-432-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405246",
            "telephone_number": "860-432-1358",
            "fax_number": "860-432-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONGARE FOOT & ANKLE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "MONGARE",
        "authorized_official_first_name": "JAPHETH",
        "authorized_official_middle_name": "OGAMBA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "203-606-2694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CT",
            "license": "881",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "881",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

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