Organization Active NPI

Martha Severino MD PLLC

  • Internal Medicine Physician
  • Danbury, CT
National Provider Identifier
1649441999
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040024 Issued in CT
Legal business name
MARTHA SEVERINO MD PLLC
Practice address
67 Sand Pit Rd
Suite #202
Danbury, CT 06810-4032
Phone
(203) 778-5500
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Martha Z. Severino
Title
Owner
Phone
(203) 240-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 040024 CT Primary

Addresses

Primary practice location

67 Sand Pit Rd
Suite #202
Danbury, CT 06810-4032

Mailing address

36 Tamarack Ave
Suite #322
Danbury, CT 06811-4822

Other identifiers 1

IdentifierTypeStateIssuer
DE7965OtherCTMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

67 Sand Pit Rd
Ste 202
Danbury, CT 06810
Phone (203) 374-7737

36 Tamarack Ave
Ste 322
Danbury, CT 06811

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1649441999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 TAMARACK AVE",
            "address_2": "SUITE #322",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "address_2": "SUITE #202",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-778-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA SEVERINO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SEVERINO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-240-4143",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "040024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE7965",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.