NPIMap

Individual provider Active NPI

Amy Sarah Wasterlain, MD

  • Orthopaedic Surgery Physician
  • Middletown, CT
National Provider Identifier
1528402963
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
62336 Issued in CT
Practice address
410 Saybrook Rd Ste 100
Middletown, CT 06457-4780
Phone
(860) 685-8940
NPI assigned
Apr 27, 2013
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 62336 CT Primary

Addresses

Primary practice location

410 Saybrook Rd Ste 100
Middletown, CT 06457-4780

Mailing address

410 Saybrook Rd Ste 100
Middletown, CT 06457-4780
Phone (860) 685-8940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190507001821 CT Practitioner - Orthopedic Surgery 7810242989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Stanford University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

430 Saybrook Rd
Middletown, CT 06457-4747
Phone (860) 685-8940

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement53
Knee replacement47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC Orthopaedic Surgery CurrentSince Dec 1, 2021 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Orthopaedic Surgery CurrentSince Dec 1, 2021 Accepting new patients
Middlesex Orthopedic Surgeons PC Orthopaedic Surgery CurrentSince Jun 1, 2019 Accepting new patients
Middlesex Center for Advanced Orthopedic Surgery Past Accepting new patients

Locations

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

117 Main St
Hebron, CT 06248
Phone (860) 228-3888

410 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 685-8951

420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258

430 Saybrook Rd
Middletown, CT 06457
Phone (860) 638-3820

510 Saybrook Rd
Middletown, CT 06457
Phone (860) 346-2267

512 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 704-6021

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

4 Grove Beach Rd N
Westbrook, CT 06498
Phone (860) 664-3553

4 Grove Beach Rd N
Ste E
Westbrook, CT 06498

Interoperability endpoints

  • Direct secure messaging: awasterlain@ons.emadirect.md

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1528402963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD STE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574780",
            "telephone_number": "860-685-8940",
            "fax_number": "860-685-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD STE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574780",
            "telephone_number": "860-685-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASTERLAIN",
        "first_name": "AMY",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-27",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "62336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.