Individual provider Active NPI

Marvin Shield Arons, M.D., D.M.D.

  • Specialist
  • Woodbridge, CT
National Provider Identifier
1205834876
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
009147 Issued in CT
Practice address
245 Amity Rd.
Suite 107
Woodbridge, CT 06525-1439
Phone
(203) 228-5123
Fax
(203) 228-5124
NPI assigned
Jul 8, 2005
Last updated
Dec 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 009147 CT Primary

Addresses

Primary practice location

245 Amity Rd.
Suite 107
Woodbridge, CT 06525-1439

Mailing address

245 Amity Rd.
Suite 107
Woodbridge, CT 06525-1439
Phone (203) 228-5123

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

State licenses

LicenseStateTypeSpecialty
009147CTMDSpecialist
9147CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmetic and Reconstructive Surgery Associates of Connecticut, PC Specialist PastSince Nov 1, 2014 Accepting new patients
Jeffrey a Arons, MD, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3854/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1205834876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 AMITY RD.",
            "address_2": "SUITE 107",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251439",
            "telephone_number": "203-228-5123",
            "fax_number": "203-228-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 AMITY RD.",
            "address_2": "SUITE 107",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251439",
            "telephone_number": "203-228-5123",
            "fax_number": "203-228-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARONS",
        "first_name": "MARVIN",
        "middle_name": "SHIELD",
        "name_prefix": "Dr.",
        "credential": "M.D., D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "009147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.