OrganizationActive
Riverside Podiatry,llc
NPI 1609354372 · Primary Podiatric Medicine Podiatrist · Avon, CT
Provider details
- NPI number
- 1609354372
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Japheth Mongare, Podiatrist(860) 436-1773
- License
- 881 (CT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
11 Westridge Dr
Avon, CT 06001-3648
Phone: (860) 436-1773
Approximate (ZIP-level) locationGet directions
Mailing address
11 Westridge Dr
Avon, CT 06001-3648
Registry dates
- Enumerated
- 2018-08-03
- Last updated
- 2018-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.