NPIMap

Organization Active NPI

Orthopaedic & Neurosurgery Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Newington, CT
National Provider Identifier
1043086531
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC & NEUROSURGERY SPECIALISTS, PLLC
Practice address
505 Willard Ave Ste C
Newington, CT 06111-2650
Phone
(860) 347-7636
Fax
(860) 894-1894
NPI assigned
Nov 27, 2023
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Seth MillerNPI 1255303764
Title
Owner
Phone
(203) 869-1145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

505 Willard Ave Ste C
Newington, CT 06111-2650

Mailing address

5 High Ridge Park FL 2
Stamford, CT 06905-1332
Phone (203) 869-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250428002649 CT DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5294628947 Practice locations: Newington, CT

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

National Provider Directory

National Provider Directory

Locations

117 Main St
Hebron, CT 06248
Phone (860) 228-3888

430 Saybrook Rd
Uppr
Middletown, CT 06457
Phone (860) 686-8940

249 Danbury Rd
Fl 3
Wilton, CT 06897
Phone (203) 869-1145

600 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 627-8717

Practitioners & affiliated clinicians

Practitioners 304

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 304

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1043086531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HIGH RIDGE PARK FL 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051332",
            "telephone_number": "203-869-1145",
            "fax_number": "203-618-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE STE C",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112650",
            "telephone_number": "860-347-7636",
            "fax_number": "860-894-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC & NEUROSURGERY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-869-1145"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.