{"npi":"1770514101","type":"NPI-2","status":"active","name":{"display":"Healthdrive Podiatry Group, PC","other":[],"organization_name":"HEALTHDRIVE PODIATRY GROUP, PC","authorised_official":"Riya Altomonte"},"specialty":{"primary_taxonomy":"213E00000X","primary_taxonomy_description":"Podiatry","slug":"podiatry","schema_org_specialty":"Podiatric","all":[{"code":"213E00000X","description":"Podiatry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"101 CENTERPOINT DR STE 215","city":"MIDDLETOWN","state":"CT","postal_code":"064577568","country_code":"US","phone":"8889646681","fax":"8886620859"},{"purpose":"MAILING","street_1":"100 CROSSING BLVD","city":"FRAMINGHAM","state":"MA","postal_code":"017025555","country_code":"US","street_2":"SUITE 300","phone":"6179646681","fax":"3396862561"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"004124682","state":"CT","issuer":null},{"type_code":"01","label":"Other","value":"CA5925","state":"CT","issuer":"MEDICARE RAILROAD"},{"type_code":"01","label":"Other","value":"50HEALTHPODCT01","state":"CT","issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040130000371","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CT","pac_id":"3375446958"}]},"enumeration_date":"2006-07-05","last_updated":"2019-12-31","_meta":{"source":"NPPES","snapshot_date":"2019-12-31","doc_url":"https://findmynpi.com/api"}}