Organization Active NPI

Norwich Orthopedic Group, PC

Doing business as Orthopedic Partners

  • Non-Pharmacy Dispensing Site
  • Niantic, CT
National Provider Identifier
1619323706
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
NORWICH ORTHOPEDIC GROUP, PC
Doing business as
Orthopedic Partners
Practice address
11 Industrial Park Rd
Niantic, CT 06357-1904
Phone
(860) 889-7345
Fax
(860) 885-7229
NPI assigned
May 9, 2016
Last updated
May 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Mohammad Pasha, M.D.NPI 1720030554
Title
Assistant Treasurer
Phone
(860) 889-7345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

11 Industrial Park Rd
Niantic, CT 06357-1904

Mailing address

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Other identifiers 1

IdentifierTypeStateIssuer
004002358MedicaidCT

Other names 1

  • Orthopedic Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Norwich Orthopedic Grou2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1619323706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345",
            "fax_number": "860-885-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 INDUSTRIAL PARK RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571904",
            "telephone_number": "860-889-7345",
            "fax_number": "860-885-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWICH ORTHOPEDIC GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "PASHA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "ASSISTANT TREASURER",
        "authorized_official_telephone_number": "860-889-7345",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004002358",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niantic, CT

Sources for this page

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

Verify at the official NPI Registry.