Prime Healthcare of Southport,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036856 Issued in CT

Legal business name

PRIME HEALTHCARE OF SOUTHPORT,LLC

Practice address

2000 Post Rd
Suite #202
Fairfield, CT 06824-5730

Phone

(203) 254-9454

Fax

(203) 254-0152

NPI assigned

May 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Naeem Sarfraz, M.D.NPI 1760427033

Title

Owner

Phone

(203) 254-9454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Naeem Sarfraz, M.D.

  • Internal Medicine Physician
  • Fairfield, CT
  • NPI 1760427033
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194937581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 POST RD",
            "address_2": "SUITE #202",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245730",
            "telephone_number": "203-254-9454",
            "fax_number": "203-254-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 POST RD",
            "address_2": "SUITE #202",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245730",
            "telephone_number": "203-254-9454",
            "fax_number": "203-254-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE OF SOUTHPORT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SARFRAZ",
        "authorized_official_first_name": "NAEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-254-9454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.