OrganizationActive
Laserwave Podiatry
NPI 1285383877 · Podiatrist · Mystic, CT
Laserwave Podiatry is a Podiatrist organization in Mystic, CT (NPI 1285383877).
Provider details
- NPI number
- 1285383877
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Michael Cicero, Owner and Medical Director(401) 363-3150
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 Roosevelt Ave Ste 203
Mystic, CT 06355-2842
Phone: (401) 363-3150
Street-level locationGet directions
Mailing address
12 Roosevelt Ave Ste 203
Mystic, CT 06355-2842
Registry dates
- Enumerated
- 2022-03-21
- Last updated
- 2023-03-08
- Certified
- 2023-03-08
Frequently asked questions
- What is Laserwave Podiatry's NPI number?
- Laserwave Podiatry's National Provider Identifier (NPI) is 1285383877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Laserwave Podiatry?
- Laserwave Podiatry is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Laserwave Podiatry located?
- Laserwave Podiatry's practice location on file with NPPES is 12 Roosevelt Ave Ste 203, Mystic, CT 06355-2842.
- What is Laserwave Podiatry's phone number?
- The practice phone number listed in the NPPES registry for Laserwave Podiatry is (401) 363-3150.
- Who is the authorized official for Laserwave Podiatry?
- The authorized official listed on Laserwave Podiatry's NPPES record is Michael Cicero, Owner and Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Laserwave Podiatry's NPI active?
- Yes — Laserwave Podiatry's NPI (1285383877) is active in the NPPES registry as of the last update on 2023-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.