NPIMap

Individual provider Active NPI

Nicholas Paul Saggese, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Guilford, CT
National Provider Identifier
1013369487
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12651 Issued in CT
Practice address
246 Goose LN Ste 204
Guilford, CT 06437-2186
Phone
(203) 453-7700
Fax
(203) 458-5085
NPI assigned
Jul 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12651 CT Primary

Addresses

Primary practice location

246 Goose LN Ste 204
Guilford, CT 06437-2186

Mailing address

246 Goose LN Ste 204
Guilford, CT 06437-2186
Phone (203) 453-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601002694 CT Practitioner - Oral Surgery 5092193193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Maxillofacial Surgeons LLCGroup PAC ID 2062317134, 4 clinicians

Practice addresses (Care Compare)

291 Farmington Ave
Farmington, CT 06032-1925
Phone (860) 678-7528

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Maxillofacial Surgeons, LLC Oral and Maxillofacial Surgery CurrentSince Dec 18, 2023 Accepting new patients
Coastal Connecticut Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery CurrentSince Apr 1, 2022 Accepting new patients

Locations

291 Farmington Ave
Ste 2
Farmington, CT 06032
Phone (860) 678-7528

291 Farmington Ave
Farmington, CT 06032
Phone (860) 677-8666

246 Goose Ln
Ste 204
Guilford, CT 06437
Phone (203) 453-4381

2560 Dixwell Ave
Ste 2A
Hamden, CT 06514
Phone (203) 281-3737

Interoperability endpoints

  • Direct secure messaging: nsaggese89809@connecticutchildrens.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1013369487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 GOOSE LN STE 204",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372186",
            "telephone_number": "203-453-7700",
            "fax_number": "203-458-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 GOOSE LN STE 204",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372186",
            "telephone_number": "203-453-7700",
            "fax_number": "203-458-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGGESE",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "12651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.