Active NPI
Paul K. Safer, M.D.
- Surgery Physician
- Middletown, CT
National Provider Identifier
1275512576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 022203
- Practice address
- 520 Saybrook Rd
Middletown, CT 06457-4700 - Phone
- (860) 346-2608
- Fax
- (860) 347-4691
- NPI assigned
- Jan 13, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 022203 | CT | Primary |
| Vascular Surgery Physician | 2086S0129X | 022203 | CT | |
| Surgical Oncology Physician | 2086X0206X | 022203 | CT | |
| Colon & Rectal Surgery Physician | 208C00000X | 022203 | CT | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 022203 | CT |
Addresses
Primary practice location
520 Saybrook Rd
Middletown, CT 06457-4700
Mailing address
141 Breezy Corners Rd
Portland, CT 06480-1781
Phone (860) 346-2608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001222033 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022203 | CT | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Surgical Group, Prof Corp | Surgery | Current | Accepting new patients |
Locations
520 Saybrook Rd
Middletown, CT 06457
Phone (860) 346-2608
520 Saybrook Rd
Ste S100
Middletown, CT 06457
Phone (860) 346-2608
5 Pequot Park Rd
Ste 203
Westbrook, CT 06498
Phone (860) 358-3909
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 and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Middletown, CT
- NPI 1184777054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1275512576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 BREEZY CORNERS RD",
"city": "PORTLAND",
"state": "CT",
"postal_code": "064801781",
"telephone_number": "860-346-2608",
"fax_number": "860-347-4691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SAYBROOK RD",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574700",
"telephone_number": "860-346-2608",
"fax_number": "860-347-4691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFER",
"first_name": "PAUL",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "022203",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CT",
"license": "022203",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CT",
"license": "022203",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CT",
"license": "022203",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CT",
"license": "022203",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001222033",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.