Active NPI
Anthony G Santomauro MD
- Obstetrics & Gynecology Physician
- Bridgeport, CT
National Provider Identifier
1083886030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ANTHONY G SANTOMAURO MD
- Practice address
- 4675 Main Street
Bridgeport, CT 06606 - Phone
- (203) 372-9998
- Fax
- (203) 373-9095
- NPI assigned
- Mar 31, 2008
- Last updated
- Nov 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony G Santomauro, MD
- Title
- Owner
- Phone
- (203) 372-9998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
4675 Main Street
Bridgeport, CT 06606
Mailing address
4675 Main Street
Bridgeport, CT 06606
Phone (203) 372-9998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004396653GR | Medicaid | CT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225929600000",
"number": "1083886030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4675 MAIN STREET",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06606",
"telephone_number": "203-372-9998",
"fax_number": "203-373-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4675 MAIN STREET",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06606",
"telephone_number": "203-372-9998",
"fax_number": "203-373-9095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY G SANTOMAURO MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-31",
"last_updated": "2008-11-06",
"status": "A",
"authorized_official_last_name": "SANTOMAURO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-372-9998",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004396653GR",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.