Individual provider Active NPI

James Pasternack, M.D.

  • Ophthalmology Physician
  • Bloomfield, CT
National Provider Identifier
1104824572
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
031616 Issued in CT
Practice address
4 Northwestern Dr
Bloomfield, CT 06002-3444
Phone
(860) 243-2020
NPI assigned
Jul 11, 2005
Last updated
Jun 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 031616 CT Primary

Addresses

Primary practice location

4 Northwestern Dr
Bloomfield, CT 06002-3444

Mailing address

4 Northwestern Dr
Bloomfield, CT 06002-3444
Phone (860) 243-2020

Other identifiers 2

IdentifierTypeStateIssuer
001316167MedicaidCT
P00202831OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000133 CT Practitioner - Ophthalmology 0244227916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 Northwestern Dr
Suite 400
Bloomfield, CT 06002-3444
Phone (860) 482-2992

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031616CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Eye Care Center, PC Ophthalmology CurrentSince Jul 12, 2004 Accepting new patients
Refocus Eye Health of Connecticut PC Ophthalmology CurrentSince Jun 20, 2024 Accepting new patients
Refocus Eye Health of Connecticut PC Ophthalmology CurrentSince Jun 20, 2024 Accepting new patients

Locations

44 Dale Rd
Avon, CT 06001
Phone (860) 674-8830

44 Dale Rd
Ste 304
Avon, CT 06001
Phone (860) 236-3607

4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969

4 Northwestern Dr
Ste 400
Bloomfield, CT 06002
Phone (860) 243-2020

87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424

1080 Day Hill Rd
Ste 301
Windsor, CT 06095
Phone (860) 386-8970

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1104824572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NORTHWESTERN DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023444",
            "telephone_number": "860-243-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTHWESTERN DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023444",
            "telephone_number": "860-243-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNACK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "031616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001316167",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00202831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.