Active NPI
Maria Tasso, M.D.
- Pediatrics Physician
- Waterbury, CT
National Provider Identifier
1003924457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 028169
- Practice address
- 160 Robbins St
Waterbury, CT 06708-2652 - Phone
- (203) 755-2999
- Fax
- (203) 346-6971
- NPI assigned
- Aug 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 028169 | CT | Primary |
Addresses
Primary practice location
160 Robbins St
Waterbury, CT 06708-2652
Mailing address
160 Robbins St
Waterbury, CT 06708-2652
Phone (203) 755-2999
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010028169CT01 | Other | CT | BLUECROSS BLUESHIELD |
| 028169 | Other | CT | CONNECTICARE |
| 0R0486 | Other | CT | HEALTHNET |
| NHP114 | Other | CT | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028169 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Assoc of Conn PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- mtasso@direct.wtbyhosp.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Waterbury, CT
- NPI 1376505859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1003924457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 ROBBINS ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082652",
"telephone_number": "203-755-2999",
"fax_number": "203-346-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ROBBINS ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082652",
"telephone_number": "203-755-2999",
"fax_number": "203-346-6971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASSO",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-27",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "028169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "010028169CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "028169",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0R0486",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NHP114",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.