Paul Dean Demartini, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

024378 Issued in CT

Practice address

501 Kings Hwy E
Suite 112
Fairfield, CT 06825-4867

Phone

(203) 382-1900

Fax

(203) 382-0019

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: pdemartini5840@direct.ynhh.org
• Direct secure messaging: pauld.demartini@xdr.hhchealthdirect.org

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1063451201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KINGS HWY E",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254867",
            "telephone_number": "203-382-1900",
            "fax_number": "203-382-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KINGS HWY E",
            "address_2": "SUITE 112",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254867",
            "telephone_number": "203-382-1900",
            "fax_number": "203-382-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Beard Sawmill Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064846178",
            "country_code": "US",
            "telephone_number": "203-922-7870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMARTINI",
        "first_name": "PAUL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "024378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ZS218",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "010024378CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001243781",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "0V5159",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "524378",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy E Delucia, PA
• Richard Matthew Delvecchio, D.D.S.
• Kristine Marie Demarco, D.C, M.S.
• Demartin Dental Associates, PC
• Robert E. Demartin, DDS
• Deirdre Dempsey
• Jason Deng
• Paul Dengelegi, DMD
• Dental Sedation Center of Connecticut, LLC
• Deborah Ann Derose, DPM

• Vascular Surgery Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Vascular Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.