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RIVERSIDE PODIATRY,LLC
NPI 1609354372
Podiatrist - Primary Podiatric Medicine in Avon, CT

Active since August 03, 2018
11 WESTRIDGE DR, AVON, CT 06001(860) 436-1773 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Podiatry,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE PODIATRY,LLC (NPI 1609354372) is a healthcare organization registered as a primary podiatric medicine in Avon, Connecticut and active in the NPI registry since August 2018. The organization lists Japheth Ogamba Mongare, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1609354372
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameRIVERSIDE PODIATRY,LLC
Location Address11 WESTRIDGE DRAvon, CT 06001-3648
Mailing Address11 Westridge DrAvon, CT 06001-3648 · (860) 436-1773
Phone(860) 436-1773
Organization SubpartNo
Authorized OfficialJapheth Ogamba MongarePodiatrist · (860) 436-1773
Enumeration DateAugust 3, 2018
✔ NPI 1609354372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in CT · 881
11 WESTRIDGE DR, Avon, CT 06001
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Podiatry,llc's NPI number?

The NPI number for Riverside Podiatry,llc is 1609354372. It was assigned to this organization in the NPPES registry on August 3, 2018.

Where is Riverside Podiatry,llc located?

Riverside Podiatry,llc is located at 11 Westridge Dr, Avon, CT 06001. The listed phone number is (860) 436-1773.

What is Riverside Podiatry,llc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Riverside Podiatry,llc was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.