Organization Active NPI

Pasquale J. Dematteo, D.O., P.C.

  • Internal Medicine Physician
  • Fairfield, CT
National Provider Identifier
1033306907
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
000-200 Issued in CT
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

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.