Individual provider Active NPI

John Sceppa, RPA-C

  • Medical Physician Assistant
  • New Haven, CT
National Provider Identifier
1023133626
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001473 Issued in CT
Practice address
Yale -New Haven Hospital
20 York St.
New Haven, CT 06510-3202
Phone
(203) 785-2802
NPI assigned
Mar 20, 2007
Last updated
Jun 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001473 CT Primary
Surgical Physician Assistant 363AS0400X 001473 CT

Addresses

Primary practice location

Yale -New Haven Hospital
20 York St.
New Haven, CT 06510-3202

Mailing address

259 Argyle Rd
Orange, CT 06477-2915
Phone (203) 283-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131119001369 CT Practitioner - Physician Assistant 8628204799 Reassigns benefits to 3 organizations
I20231121003308 NY Practitioner - Physician Assistant 8628204799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001473CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Apr 22, 2021 Accepting new patients
Hartford Hospital CurrentSince Apr 22, 2021 Accepting new patients
Hartford Hospital CurrentSince Apr 22, 2021 Accepting new patients
Housatonic Medical Services, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsceppa@direct.wtbyhosp.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1023133626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 ARGYLE RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772915",
            "telephone_number": "203-283-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "YALE -NEW HAVEN HOSPITAL",
            "address_2": "20 YORK ST.",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103202",
            "telephone_number": "203-785-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCEPPA",
        "first_name": "JOHN",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001473",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.