Individual provider Active NPI

Antonio Paz, MD

  • Anesthesiology Physician
  • Brookfield, CT
National Provider Identifier
1114997665
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
043835 Issued in CT
Practice address
60 Old New Milford Road
Suite 3E
Brookfield, CT 06804-6099
Phone
(203) 775-6205
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 285384 NY
Internal Medicine Physician 207R00000X 285384 NY
Internal Medicine Physician 207R00000X 043835 CT
Interventional Pain Medicine Physician 208VP0014X 285384 NY
Interventional Pain Medicine Physician 208VP0014X 043835 CT
Anesthesiology Physician 207L00000X 043835 CT Primary

Addresses

Primary practice location

60 Old New Milford Road
Suite 3E
Brookfield, CT 06804-6099

Mailing address

60 Old New Milford Road
Suite 3E
Brookfield, CT 06804-6099
Phone (203) 775-6205

Other identifiers 7

IdentifierTypeStateIssuer
1121403OtherCTAETNA
P3654504OtherCTOXFORD
001438359MedicaidCT
010043835CT01OtherCTANTHEM B/C
043835OtherCTCONNECTICARE
2606317OtherCTUHC
2V7151OtherCTHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051219000860 CT Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 6305868340 Reassigns benefits to 1 organization
I20160901000351 NY Practitioner - AnesthesiologyPractitioner - Internal Medicine 6305868340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialists of Connecticut, PCGroup PAC ID 6709779887, 21 clinicians

Practice addresses (Care Compare)

60 Old New Milford Rd
Suite 3E
Brookfield, CT 06804-2414
Phone (203) 775-6205

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285384NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Medical Associates PC CurrentSince Jun 1, 2024 Accepting new patients
Fairfield County Medical Services Inc Internal Medicine Past Accepting new patients
Robert L. Weiss, MD, PC PastSince Nov 1, 2020 Accepting new patients

Locations

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

Interoperability endpoints

  • Direct secure messaging: antoniopaz@oscpc.allscriptsdirect.net

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1114997665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 OLD NEW MILFORD ROAD",
            "address_2": "SUITE 3E",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068046099",
            "telephone_number": "203-775-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 OLD NEW MILFORD ROAD",
            "address_2": "SUITE 3E",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068046099",
            "telephone_number": "203-775-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "285384",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "285384",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043835",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "285384",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "043835",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "043835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1121403",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3654504",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001438359",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B/C",
            "identifier": "010043835CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "043835",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2606317",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V7151",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.