COMPLETE FOOT CARE LLC NPI 1881785012

NPI Information

NPI: 1881785012
Provider Name: COMPLETE FOOT CARE, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
60 TEMPLE ST
NEW HAVEN, CT
ZIP 06513
Phone: (203) 562-7688
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COMPLETE FOOT CARE, LLC is a podiatrist in New Haven, CT. 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. COMPLETE FOOT CARE, LLC NPI is 1881785012. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

60 TEMPLE ST
NEW HAVEN, CT
ZIP 06513-716
Phone: (203) 562-7688
Fax: (203) 624-3131

The provider's authorized official is Neal Bradley Zomback .
The authorized official title is Member and has the following contact phone number (203) 562-7688.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 9/12/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0000X	Podiatrist	Sports Medicine	466	CONNECTICUT	No
2	213ES0131X	Podiatrist	Foot Surgery	762	CONNECTICUT	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		000466	CONNECTICUT	No
4	213E00000X	Podiatrist		466	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004180650	OTHER	CONNECTICUT	MEDICAID GROUP
2	C03595	MEDICARE PIN	CONNECTICUT
3	480000982	OTHER	CONNECTICUT	MEDICARE ID- NEAL B ZOMBACK, DPM
4	T23199	MEDICARE UPIN	CONNECTICUT
5	004090528	MEDICAID	CONNECTICUT
6	1992712236	OTHER	CONNECTICUT	NPI-DR SCOTT MELAMED
7	1730101635	OTHER	CONNECTICUT	NPI- NEAL ZOMBACK, DPM
8	U8904	MEDICARE UPIN	CONNECTICUT
9	004222999	MEDICAID	CONNECTICUT
10	480000984	OTHER	CONNECTICUT	MEDICARE ID- SCOTT MELAMED, DPM

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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