Active NPI
Dominic Edward Vozzella
- Physician Assistant
- Shelton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2 Trap Falls Rd Ste 405
Shelton, CT 06484-4670 - Phone
- (203) 929-1954
- NPI assigned
- Apr 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | CT | Primary |
Addresses
Primary practice location
2 Trap Falls Rd Ste 405
Shelton, CT 06484-4670
Mailing address
181 Quail Run
Marshfield, MA 02050-2066
Phone (617) 688-0507
Other practice location 1
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| Mill Hill Medical Consultants Inc | Multi-Specialty | Current | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- dvozzella439493@direct.ynhh.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Multi-Specialty
-
- Hospitalist Physician
- Greenwich, CT
- NPI 1881607232
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725753600000",
"number": "1124656269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 QUAIL RUN",
"city": "MARSHFIELD",
"state": "MA",
"postal_code": "020502066",
"telephone_number": "617-688-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD STE 405",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844670",
"telephone_number": "203-929-1954"
}
],
"practiceLocations": [
{
"address_1": "267 Grant St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066102805",
"country_code": "US",
"telephone_number": "203-384-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOZZELLA",
"first_name": "DOMINIC",
"middle_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-01",
"last_updated": "2024-09-08",
"certification_date": "2024-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.