Individual provider Active NPI

Julia Sabetta, M.D.

  • Specialist
  • Greenwich, CT
National Provider Identifier
1255356184
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25330 Issued in CT
Practice address
4 Dearfield Dr
Suite 203
Greenwich, CT 06831-5351
Phone
(203) 869-6111
Fax
(203) 869-1438
NPI assigned
Jul 13, 2006
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 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 25330 CT Primary

Addresses

Primary practice location

4 Dearfield Dr
Suite 203
Greenwich, CT 06831-5351

Mailing address

4 Dearfield Dr
Suite 203
Greenwich, CT 06831-5351
Phone (203) 869-6111

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000670 CT Practitioner - Dermatology 3173708849 Reassigns benefits to 1 organization
Practice locations: Greenwich, CT; Westport, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25330CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Citywide Dermatology, PLLC CurrentSince Jan 12, 2023 Accepting new patients

Locations

600 W Putnam Ave
Greenwich, CT 06830
Phone (203) 810-4151

Interoperability endpoints

  • Direct secure messaging: julia.sabetta@schweigerderm.emadirect.md

Organizations & group practices 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1255356184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DEARFIELD DR",
            "address_2": "SUITE 203",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315351",
            "telephone_number": "203-869-6111",
            "fax_number": "203-869-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DEARFIELD DR",
            "address_2": "SUITE 203",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315351",
            "telephone_number": "203-869-6111",
            "fax_number": "203-869-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABETTA",
        "first_name": "JULIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "25330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.