Individual provider Active NPI

Jacqueline J Littzi

  • Ophthalmology Physician
  • New Canaan, CT
National Provider Identifier
1619037124
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
032333 Issued in CT
Practice address
125 Main St
New Canaan, CT 06840-5507
Phone
(203) 966-4200
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 032333 CT Primary

Addresses

Primary practice location

125 Main St
New Canaan, CT 06840-5507

Mailing address

31 Cross Ridge Rd
New Canaan, CT 06840-2312
Phone (203) 966-4200

Other identifiers 5

IdentifierTypeStateIssuer
032333OtherCTSTATE LICENSE
010032333CT02OtherCTANTHEM IS ID NUMBER
061343834OtherCTSTATE TAX ID
125633OtherCTAETNA INS PROVIDER NUMBER
ZS750OtherCTOXFORD INS ID NUMBER

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000024 CT Practitioner - Ophthalmology 7517996556 Practice locations: Greenwich, CT; New Canaan, CT

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 Locust Ave
Suite 105
New Canaan, CT 06840-4753
Phone (203) 966-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

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

Hospital & facility affiliations 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1619037124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CROSS RIDGE RD",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068402312",
            "telephone_number": "203-966-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405507",
            "telephone_number": "203-966-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTZI",
        "first_name": "JACQUELINE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "032333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "032333",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM IS ID NUMBER",
            "identifier": "010032333CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID",
            "identifier": "061343834",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS PROVIDER NUMBER",
            "identifier": "125633",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INS ID NUMBER",
            "identifier": "ZS750",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

Verify at the official NPI Registry.