Pacey Pet, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30074 Issued in CT

Practice address

146 Danbury Rd
New Milford, CT 06776-3427

Phone

(860) 799-5900

Fax

(860) 799-5902

NPI assigned

Feb 2, 2006

Last updated

Mar 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pacey.pet.1@15700.direct.athenahealth.com
• Direct secure messaging: pacey.pet.1@16244.direct.athenahealth.com

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.

• Preferred Primary Care of New Milford, PLLC

  • Internal Medicine Physician
  • New Milford, CT
  • NPI 1174057483
  Medicare reassignment NPD
• Preferred Primary PLLC

  • Family Nurse Practitioner
  • New Milford, CT
  • NPI 1366216772
  NPD
• A. Keith Barton, PHD, PC

  • Clinical Psychologist
  • New Milford, CT
  • NPI 1154840718
  NPD (past)
• Iraj Rahmati MD PC

  • Ophthalmology Physician
  • New Milford, CT
  • NPI 1033424940
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1407828700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 DANBURY RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763427",
            "telephone_number": "860-799-5900",
            "fax_number": "860-799-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 DANBURY RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763427",
            "telephone_number": "860-799-5900",
            "fax_number": "860-799-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PET",
        "first_name": "PACEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "30074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P4302536",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004068508",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "730074",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4329521",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9896287",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Pelletier-Young
• Valerie Perfetto
• Kerry Diane Perillo, LPC
• Brittany Perrone, LPC
• Perry Githens Aprn LLC
• Peter Anderson
• Colleen Petridis, DPT
• Loan Pham, DDS
• Phoenix Counseling LLC
• Physician Care LLC

• Internal Medicine Physician in New Milford, CT
• Providers in New Milford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.