Organization Active NPI

Joseph Aferzon, MD, LLC

  • Neurological Surgery Physician
  • New Britain, CT
National Provider Identifier
1043414352
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
035092
Legal business name
JOSEPH AFERZON, MD, LLC
Practice address
114 West Main St
New Britain, CT 06051
Phone
(860) 832-4664
Fax
(860) 832-4665
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Joseph Aferzon, M.D.NPI 1316960594
Title
Physician
Phone
(860) 832-4664

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X 035092 Primary

Addresses

Primary practice location

114 West Main St
New Britain, CT 06051

Mailing address

114 West Main St.
New Britain, CT 06051
Phone (860) 832-4664

Other identifiers 2

IdentifierTypeStateIssuer
105029500MedicaidCT
001350925MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914000546 CT Part B Supplier - Clinic/Group Practice 8729011390 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, CT

National Provider Directory

National Provider Directory

Locations

114 W Main St
New Britain, CT 06051
Phone (860) 348-1677

595 Main St
Portland, CT 06480
Phone (860) 342-4502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1043414352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WEST MAIN ST.",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "06051",
            "telephone_number": "860-832-4664",
            "fax_number": "860-832-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WEST MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "06051",
            "telephone_number": "860-832-4664",
            "fax_number": "860-832-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH AFERZON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "AFERZON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-832-4664",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": "035092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105029500",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001350925",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.