NEW CANAAN PODIATRY LLC
NPI 1790293207
Podiatrist in New Canaan, CT

Active since January 18, 2018
107 CHERRY ST, NEW CANAAN, CT 06840(203) 548-7688 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About New Canaan Podiatry Llc NPPES

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

NEW CANAAN PODIATRY LLC (NPI 1790293207) is a healthcare organization registered as a podiatrist in New Canaan, Connecticut and active in the NPI registry since January 2018. The organization lists Jennifer Tauber, Owner, as its authorized official.

NPPES Registry Identity

NPI1790293207
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNEW CANAAN PODIATRY LLC
Location Address107 CHERRY STNew Canaan, CT 06840-5521
Mailing Address107 Cherry StNew Canaan, CT 06840-5521 · (203) 548-7688
Organization SubpartNo
Authorized OfficialJennifer TauberOwner · (203) 548-7688
Enumeration DateJanuary 18, 2018
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1790293207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
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.
107 CHERRY ST, New Canaan, CT 06840

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Canaan Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Canaan Podiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1578577870
107 CHERRY ST
New Canaan, CT 06840
(203) 548-7688
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 New Canaan Podiatry LLC's NPI number?

The NPI number for New Canaan Podiatry LLC is 1790293207. It was assigned to this organization in the NPPES registry on January 18, 2018.

Where is New Canaan Podiatry LLC located?

New Canaan Podiatry LLC is located at 107 Cherry St, New Canaan, CT 06840. The listed phone number is (203) 548-7688.

What is New Canaan Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is New Canaan Podiatry LLC enrolled in Medicare?

Yes. New Canaan Podiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Canaan Podiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to New Canaan Podiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New Canaan Podiatry LLC was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.