Organization Active NPI

Jeffrey R Sanderson MD

  • Surgery Physician
  • New Milford, CT
National Provider Identifier
1386893048
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JEFFREY R SANDERSON MD
Practice address
4 Park LN
New Milford, CT 06776-2908
Phone
(860) 354-2241
Fax
(860) 350-8660
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Jeffrery R Sanderson, MD
Title
Owner
Phone
(860) 354-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4 Park LN
New Milford, CT 06776-2908

Mailing address

4 Park LN
New Milford, CT 06776-2908
Phone (860) 354-2241

National Provider Directory

National Provider Directory

Locations

4 Park Lane Rd
New Milford, CT 06776
Phone (860) 354-2241

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1386893048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK LN",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762908",
            "telephone_number": "860-354-2241",
            "fax_number": "860-350-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK LN",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762908",
            "telephone_number": "860-354-2241",
            "fax_number": "860-350-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R SANDERSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "JEFFRERY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-354-2241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.