RIVERSIDE PODIATRY,LLC (NPI# 1609354372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609354372 |
Entity Type | Organization |
Organization Name | RIVERSIDE PODIATRY,LLC |
Practice Address |
11 Westridge Dr Avon CT 06001-3648 |
Practice Telephone | 8604361773 |
Mailing Telephone | 8604361773 |
Enumeration Date | 2018-08-03 |
Last Update Date | 2018-08-03 |
Authorized Official Name | DR. JAPHETH OGAMBA MONGARE (PODIATRIST) |
Authorized Official Telephone | 8604361773 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
881 | CT | Podiatric Medicine & Surgery Service Providers |
Street Address |
11 WESTRIDGE DR |
City | AVON |
State | CT |
Zip Code | 06001-3648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
Find all providers in zip 06001 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881955664 | Manjit Kaur | Podiatrist | 301 Satori Pkwy Ste 150, Avon, IN 46123-6408 | 2012-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104236199 | Sean Wayne Lazarus D.p.m. LLC | Podiatrist | 764 Campelle Ave, Unitg, West Haven, CT 06516-3786 | 2014-04-30 |
1588957872 | Mt Podiatry, LLC | Podiatrist | 1021 Asylum Ave, Apt 407, Hartford, CT 06105-2436 | 2011-05-19 |
1497817118 | Michael Connor | Podiatrist | 27 Danbury Rd Fl 3, Wilton, CT 06897-4405 | 2006-12-16 |
1629012661 | Thomas M Domanick | Podiatrist | 1825 Barnum Ave, Stratford, CT 06614-5333 | 2006-06-16 |
1659320711 | Todd Allen Bell | Podiatrist | 57 Jolley Dr, Unit A, Bloomfield, CT 06002-3062 | 2006-05-08 |
1114928074 | Michael Jospeh Ackley | Podiatrist | 714 S Main St, Cheshire, CT 06410-3448 | 2005-08-02 |
1831194042 | Karana Marie Pierre | Podiatrist | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2005-06-15 |
1205479243 | Nili T Harpaz | Podiatrist | 309 Seaside Ave, Milford, CT 06460-4625 | 2019-10-22 |
1205489077 | St Vincents Multispecialty Group Inc | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2019-07-22 |
1215271713 | Primed, LLC | Podiatrist | 4699 Main St, Suite 211, Bridgeport, CT 06606-1830 | 2012-11-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.