Individual provider Active NPI

Assunta Maria Sandor, P.A.

  • Medical Physician Assistant
  • North Haven, CT
National Provider Identifier
1578607727
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001570 Issued in CT
Practice address
52 Washington Ave
Suite 4
North Haven, CT 06473-1724
Phone
(203) 672-2800
Fax
(203) 672-2801
NPI assigned
Feb 19, 2007
Last updated
Oct 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001570 CT Primary

Addresses

Primary practice location

52 Washington Ave
Suite 4
North Haven, CT 06473-1724

Mailing address

52 Washington Ave
Suite 4
North Haven, CT 06473-1724
Phone (203) 672-2800

Other identifiers 4

IdentifierTypeStateIssuer
290001570CT06OtherCTANTHEM BCBS
2V9259OtherCTHEALTHNET
P00451138OtherCTRAILROADMEDICARE
010570Q040OtherCTCONNECTICARE

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000012 CT Practitioner - Physician Assistant 3476508011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice and Internal Medicine, LLCGroup PAC ID 5991894123, 9 clinicians

Practice addresses (Care Compare)

52 Washington Ave
Suite 4
North Haven, CT 06473-1724
Phone (203) 672-2800

821 N Main St Ext
Suite 210
Wallingford, CT 06492-2464
Phone (203) 672-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001570CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Internal Medicine of Spring Gren LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: assunta.sandor@caremedica.eclinicaldirectplus.com

Organizations & group practices 2

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 4

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1578607727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WASHINGTON AVE",
            "address_2": "SUITE 4",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731724",
            "telephone_number": "203-672-2800",
            "fax_number": "203-672-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WASHINGTON AVE",
            "address_2": "SUITE 4",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731724",
            "telephone_number": "203-672-2800",
            "fax_number": "203-672-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOR",
        "first_name": "ASSUNTA",
        "middle_name": "MARIA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "290001570CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V9259",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROADMEDICARE",
            "identifier": "P00451138",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "010570Q040",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.