THE CENTER FOR RECONSTRUCTIVE FOOT SURGERY P.C. NPI 1497709885

NPI Information

  • NPI: 1497709885
  • Provider Name: THE CENTER FOR RECONSTRUCTIVE FOOT SURGERY, P.C.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 1 LIBERTY SQ
    NEW BRITAIN, CT
    ZIP 06051
  • Phone: (860) 229-2807

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NPI Details

THE CENTER FOR RECONSTRUCTIVE FOOT SURGERY, P.C. is a foot and ankle surgery podiatrist in New Britain, CT. THE CENTER FOR RECONSTRUCTIVE FOOT SURGERY, P.C. NPI is 1497709885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 LIBERTY SQ
NEW BRITAIN, CT
ZIP 06051-637
Phone: (860) 229-2807
Fax: (860) 229-2812

The provider's authorized official is Gary P. Jolly .
The authorized official title is Owner and has the following contact phone number (860) 229-2807.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 1/13/2010.

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
1213ES0103XPodiatristFoot & Ankle Surgery000090CONNECTICUTYes

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
1C02600MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTGROUP NUMBER
21310450001MEDICARE NSCCONNECTICUT
3T22241MEDICARE UPINCONNECTICUT

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: 3/30/2025

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