Active NPI
Martha Severino MD PLLC
- Internal Medicine Physician
- Danbury, CT
National Provider Identifier
1649441999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 040024
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE7965 | Other | CT | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
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.