Id Specialists of Fairfield, PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

CT035850 Issued in CT

Legal business name

ID SPECIALISTS OF FAIRFIELD, PLLC

Practice address

1300 Post Rd Ste 208
Fairfield, CT 06824-6038

Phone

(203) 893-0335

NPI assigned

Jun 24, 2018

Organization subpart

No

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

Authorized official

Name

Jo-Anne Passalacqua, MDNPI 1710946678

Title

Physician

Phone

(203) 893-0335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jo-Anne Passalacqua, M.D.

  • Infectious Disease Physician
  • Fairfield, CT
  • NPI 1710946678
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529798400000",
    "number": "1154816023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LORDS HWY",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068831715",
            "telephone_number": "203-893-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 POST RD STE 208",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246038",
            "telephone_number": "203-893-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID SPECIALISTS OF FAIRFIELD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-24",
        "last_updated": "2018-06-24",
        "status": "A",
        "authorized_official_last_name": "PASSALACQUA",
        "authorized_official_first_name": "JO-ANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-893-0335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "CT035850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Hylton
• William Gregory Hylton, PT, DPT
• Valerie A. I'Anson, M.D.
• Allison A Iancale, ATC
• Paul V Iaropoli, DDS
• Kyeong-Bin Im, DDS
• In-House MD, LLC.
• Jenna Innaimo
• Insight Therapy and Assessment, LLC
• Institute for Ayurvedic and Naturopathic Therapies

• Infectious Disease Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Infectious Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.