Organization Active NPI

Connecticut Hand Center, PC

  • Surgery of the Hand (Plastic Surgery) Physician
  • New London, CT
National Provider Identifier
1407226335
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
Legal business name
CONNECTICUT HAND CENTER, PC
Practice address
59 Fair Harbour PL
New London, CT 06320-4739
Phone
(203) 245-4500
Fax
(203) 779-1045
NPI assigned
Oct 5, 2015
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Sepehr Sajjad, MDNPI 1972772556
Title
Medical Doctor
Phone
(203) 245-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X NU Primary
Surgery Physician 208600000X NU

Addresses

Primary practice location

59 Fair Harbour PL
New London, CT 06320-4739

Mailing address

59 Fair Harbour PL
New London, CT 06320-4739
Phone (203) 245-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151208001236 CT Part B Supplier - Clinic/Group Practice 0244530608 Receives reassigned benefits from 3 practitioners
Practice locations: Guilford, CT; Madison, CT; New London, CT; Waterford, CT; Groton, CT
O20170123000471 RI Part B Supplier - Clinic/Group Practice 0244530608 Receives reassigned benefits from 1 practitioner
Practice locations: Westerly, RI

National Provider Directory

National Provider Directory

Locations

115 Samson Rock Dr
Fl 1
Madison, CT 06443
Phone (203) 245-4500

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1407226335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 FAIR HARBOUR PL",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204739",
            "telephone_number": "203-245-4500",
            "fax_number": "203-779-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 FAIR HARBOUR PL",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204739",
            "telephone_number": "203-245-4500",
            "fax_number": "203-779-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT HAND CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "SAJJAD",
        "authorized_official_first_name": "SEPEHR",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "203-245-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.