NPIMap

Organization Active NPI

Valley Orthopaedic Specialists LLC

  • Specialist
  • Shelton, CT
National Provider Identifier
1083794796
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VALLEY ORTHOPAEDIC SPECIALISTS LLC
Practice address
2 Trap Falls Rd Ste 404
Shelton, CT 06484-7622
Phone
(203) 734-7900
Fax
(203) 513-3269
NPI assigned
Oct 17, 2006
Last updated
Mar 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Authorized official

Name
Jonica Lee Ciaglia
Title
Practice Administrator
Phone
(203) 734-7900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary
Orthopaedic Surgery Physician 207X00000X

Addresses

Primary practice location

2 Trap Falls Rd Ste 404
Shelton, CT 06484-7622

Mailing address

2 Trap Falls Rd Ste 404
Shelton, CT 06484-7622
Phone (203) 734-7900

Other identifiers 1

IdentifierTypeStateIssuer
CT01OtherCTATHEM PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309000603 CT Part B Supplier - Clinic/Group Practice 1951299122 Receives reassigned benefits from 16 practitioners
Practice locations: Oxford, CT; Shelton, CT; Fairfield, CT; Bridgeport, CT

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Locations

515 Boston St
Guilford, CT 06437
Phone (203) 453-3100

220 Main St
Oxford, CT 06478

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1083794796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 404",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847622",
            "telephone_number": "203-734-7900",
            "fax_number": "203-513-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 404",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847622",
            "telephone_number": "203-734-7900",
            "fax_number": "203-513-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ORTHOPAEDIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "CIAGLIA",
        "authorized_official_first_name": "JONICA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-734-7900"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHEM PROVIDER NUMBER",
            "identifier": "CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.