Active NPI
James Robert Sabetta, M.D.
- Specialist
- Greenwich, CT
National Provider Identifier
1669508057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 024629
- Practice address
- 5 Perryridge Rd
Suite 108
Greenwich, CT 06830-4608 - Phone
- (203) 863-3271
- Fax
- (203) 868-3262
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 024629 | CT | Primary |
| Specialist | 174400000X | MD05796 | RI |
Addresses
Primary practice location
5 Perryridge Rd
Suite 108
Greenwich, CT 06830-4608
Mailing address
5 Perryridge Rd
Suite 108
Greenwich, CT 06830-4608
Phone (203) 863-3271
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010024629 CT01 | Other | CT | ANTHEM BLUE CROSS |
| 645418 | Other | CT | UNITED HEALTH CARE |
| 6518344-005 | Other | CT | CIGNA |
| P1982939 | Other | CT | OXFORD |
| 763995 | Other | CT | CONNECTICARE |
| 2271148 | Other | CT | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD05796 | RI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669508057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PERRYRIDGE RD",
"address_2": "SUITE 108",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "203-863-3271",
"fax_number": "203-868-3262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PERRYRIDGE RD",
"address_2": "SUITE 108",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "203-863-3271",
"fax_number": "203-868-3262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABETTA",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "024629",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "RI",
"license": "MD05796",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "010024629 CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "645418",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6518344-005",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1982939",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "763995",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2271148",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.