NPIMap

Individual provider Active NPI

Tyler Ferraro

  • Physician Assistant
  • Stamford, CT
National Provider Identifier
1073971735
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3524 Issued in CT
Practice address
30 Shelburne Rd
Stamford, CT 06902-3628
Phone
(203) 276-1000
NPI assigned
Feb 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3524 CT Primary

Addresses

Primary practice location

30 Shelburne Rd
Stamford, CT 06902-3628

Mailing address

38 Blueberry LN
Southbury, CT 06488-1929
Phone (203) 437-2099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324001673 CT Practitioner - Physician Assistant 0345547907 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Care Medical Group of CT, PLLCGroup PAC ID 5193113082, 2 clinicians

Practice addresses (Care Compare)

1141 Post Rd E
Westport, CT 06880-5444
Phone (203) 349-2002

14 2ND St
Stamford, CT 06905-5151
Phone (800) 860-3274

162 New Canaan Ave
Norwalk, CT 06850-1916
Phone (203) 989-4774

181 Clifton St
New Haven, CT 06513-3319
Phone (203) 907-3550

211 Danbury Rd
Wilton, CT 06897-4005
Phone (800) 860-3274

50 Ledge Rd
Darien, CT 06820-4439
Phone (203) 662-1090

Hospital & facility affiliations

  • Visiting Nurse & Hospice of Fairfield County, Inc Home health agency, Wilton, CT, CCN 077074
  • Atrinity Home Health Home health agency, Wallingford, CT, CCN 077254
  • Sterling Care LLC Home health agency, Greenwich, CT, CCN 077252
  • Health Care Connectors LLC Home health agency, Greenwich, CT, CCN 077278
  • Pathwell Home Health Home health agency, Stratford, CT, CCN 077181
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3524CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
WRK Ventures, LLC Past Accepting new patients
Clinic 21 of Connecticut LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tferraro24779@stamfordhealth.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1073971735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BLUEBERRY LN",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881929",
            "telephone_number": "203-437-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHELBURNE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023628",
            "telephone_number": "203-276-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.