Active NPI
Pasquale J. Dematteo, D.O., P.C.
- Internal Medicine Physician
- Fairfield, CT
National Provider Identifier
1033306907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 000-200
- Legal business name
- PASQUALE J. DEMATTEO, D.O., P.C.
- Practice address
- 525 Tunxis Hill Cut Off
Fairfield, CT 06825-4447 - Phone
- (203) 384-2273
- Fax
- (203) 384-1235
- NPI assigned
- Sep 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pasquale Joseph Dematteo, D.O.
- Title
- President
- Phone
- (203) 384-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 000-200 | CT | Primary |
Addresses
Primary practice location
525 Tunxis Hill Cut Off
Fairfield, CT 06825-4447
Mailing address
525 Tunxis Hill Cut Off
Fairfield, CT 06825-4447
Phone (203) 384-2273
Other names 1
- Fairfield Family Medical Care
National Provider Directory
National Provider DirectoryLocations
525 Tunxis Hill Rd
Fairfield, CT 06825
Phone (203) 384-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1033306907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 TUNXIS HILL CUT OFF",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254447",
"telephone_number": "203-384-2273",
"fax_number": "203-384-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 TUNXIS HILL CUT OFF",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254447",
"telephone_number": "203-384-2273",
"fax_number": "203-384-1235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASQUALE J. DEMATTEO, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "DEMATTEO",
"authorized_official_first_name": "PASQUALE",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-384-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "000-200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fairfield Family Medical Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.