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NORTHEAST FOOT & ANKLE SPECIALISTS P.C. NPI 1447376017


NPI Information

NPI: 1447376017
Provider Name: NORTHEAST FOOT & ANKLE SPECIALISTS, P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1565 MAIN ST STE 102
TEWKSBURY, MA
ZIP 01876
Phone: (978) 640-1010
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NORTHEAST FOOT & ANKLE SPECIALISTS, P.C. is a podiatrist in Tewksbury, MA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. NORTHEAST FOOT & ANKLE SPECIALISTS, P.C. NPI is 1447376017. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1565 MAIN ST STE 102
TEWKSBURY, MA
ZIP 01876-735
Phone: (978) 640-1010
Fax: (978) 640-9444

The provider's authorized official is Peter Bregman .
The authorized official title is President and has the following contact phone number (978) 640-1010.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 11/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist0308NEW HAMPSHIRENo
2213E00000XPodiatrist1432MASSACHUSETTSNo
3213E00000XPodiatrist2042MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1480030479OTHERMASSACHUSETTSRAILROAD MEDICARE
2T58660MEDICARE UPINMASSACHUSETTS
3Y70567MEDICARE PINMASSACHUSETTS
4Y75022MEDICARE PINMASSACHUSETTS
5U61532MEDICARE UPINMASSACHUSETTS
61215040001MEDICARE NSCMASSACHUSETTS
7Y78028MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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