Active NPI
Paul Anthony Barcewicz, M.D.
- Surgery Physician
- New Haven, CT
National Provider Identifier
1164470548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 021641
- Practice address
- 60 Temple St
Suite 5a
New Haven, CT 06510-2716 - Phone
- (203) 772-0650
- Fax
- (203) 785-9097
- NPI assigned
- May 5, 2006
- Last updated
- Jan 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 021641 | CT | Primary |
Addresses
Primary practice location
60 Temple St
Suite 5a
New Haven, CT 06510-2716
Mailing address
60 Temple St
Suite 5a
New Haven, CT 06510-2716
Phone (203) 772-0650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001109362 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1164470548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 TEMPLE ST",
"address_2": "SUITE 5A",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102716",
"telephone_number": "203-772-0650",
"fax_number": "203-785-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 TEMPLE ST",
"address_2": "SUITE 5A",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102716",
"telephone_number": "203-772-0650",
"fax_number": "203-785-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARCEWICZ",
"first_name": "PAUL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "021641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001109362",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.