Individual provider Active NPI

Stephenie D Torre, PAC

  • Physician Assistant
  • Trumbull, CT
National Provider Identifier
1013901453
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001457 Issued in CT
Practice address
15 Corporate Dr
Trumbull, CT 06611-1351
Phone
(203) 261-3980
Fax
(203) 261-2747
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001457 CT Primary

Addresses

Primary practice location

15 Corporate Dr
Trumbull, CT 06611-1351

Mailing address

15 Corporate Dr
Trumbull, CT 06611-1351
Phone (203) 261-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000455 CT Practitioner - Physician Assistant 2365438900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.01 of 100Reported as group
Quality
71.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001457CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ctuc01 CurrentSince Nov 1, 2019 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Nov 1, 2019 Accepting new patients
WRK Ventures, LLC Past Accepting new patients
CT Colony Emergency Physicians, LLC Past Accepting new patients
CT Emergency Medicine Specialists, LLC Past Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1013901453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CORPORATE DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111351",
            "telephone_number": "203-261-3980",
            "fax_number": "203-261-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111351",
            "telephone_number": "203-261-3980",
            "fax_number": "203-261-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRE",
        "first_name": "STEPHENIE",
        "middle_name": "D",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.