Individual provider Active NPI

Sandy Pais Narciso-Owen, P.A.-C

  • Physician Assistant
  • Fairfield, CT
National Provider Identifier
1679752083
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001990 Issued in CT
Practice address
Sacred Heart University, Physician Assistant Studies
5151 Park Avenue
Fairfield, CT 06825
Phone
(039) 899-2342
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001990 CT Primary

Addresses

Primary practice location

Sacred Heart University, Physician Assistant Studies
5151 Park Avenue
Fairfield, CT 06825

Mailing address

36 Codfish Hill Rd
Bethel, CT 06801-3305
Phone (203) 744-3575

Other practice location 1

Connecticut Children's Medical
282 Washington Street
Hartford, CT 06106
Phone (860) 545-9000

Other practice location 2

Pediatric Associates of Connecticut
160 Robbins Street
Waterbury, CT 06708
Phone (203) 755-6782

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000446 CT Practitioner - Physician Assistant 2163505868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001990CTMDPsychologist
1990CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. Physician Assistant CurrentSince Jan 1, 2018 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

60 Hartland St
East Hartford, CT 06108

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1679752083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CODFISH HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013305",
            "telephone_number": "203-744-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SACRED HEART UNIVERSITY, PHYSICIAN ASSISTANT STUDIES",
            "address_2": "5151 PARK AVENUE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06825",
            "telephone_number": "039-899-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Connecticut Children's Medical",
            "address_2": "282 Washington Street",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06106",
            "country_code": "US",
            "telephone_number": "860-545-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Pediatric Associates of Connecticut",
            "address_2": "160 Robbins Street",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "06708",
            "country_code": "US",
            "telephone_number": "203-755-6782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARCISO-OWEN",
        "first_name": "SANDY",
        "middle_name": "PAIS",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.