OrganizationActive
Newtown Sports Podiatry
NPI 1942218763 · Sports Medicine Podiatrist · Newtown, CT
Provider details
- NPI number
- 1942218763
- Entity type
- Organization
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Brian Fullem, Owner(203) 426-7060
- License
- 000556 (CT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
54 S Main St
Newtown, CT 06470-2358
Phone: (203) 426-7060
Fax: (203) 270-0420
Street-level locationGet directions
Mailing address
54 S Main St
Newtown, CT 06470-2358
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2010-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.