Organization Active NPI

Plastic Surgery Center of Fairfield, LLC

  • Plastic and Reconstructive Surgery Physician
  • Fairfield, CT
National Provider Identifier
1366864340
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
037405 Issued in CT
Legal business name
PLASTIC SURGERY CENTER OF FAIRFIELD, LLC
Practice address
33 Miller St
Fairfield, CT 06824-5924
Phone
(203) 336-9862
Fax
(203) 336-0165
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Dr. Alfred Sofer, M.D.
Title
Owner
Phone
(203) 336-9862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 037405 CT Primary

Addresses

Primary practice location

33 Miller St
Fairfield, CT 06824-5924

Mailing address

33 Miller St
Fairfield, CT 06824-5924
Phone (203) 336-9862

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1366864340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MILLER ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245924",
            "telephone_number": "203-336-9862",
            "fax_number": "203-336-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MILLER ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245924",
            "telephone_number": "203-336-9862",
            "fax_number": "203-336-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER OF FAIRFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "SOFER",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-336-9862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CT",
            "license": "037405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.