Individual provider Active NPI

Edward B Paraiso, ME

  • Urology Physician
  • Trumbull, CT
National Provider Identifier
1740212141
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
38702 Issued in CT
Practice address
160 Hawley LN
Suite 002
Trumbull, CT 06611-5300
Phone
(203) 375-3456
Fax
(203) 375-4456
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 38702 CT
Urology Physician 208800000X 38702 CT Primary

Addresses

Primary practice location

160 Hawley LN
Suite 002
Trumbull, CT 06611-5300

Mailing address

160 Hawley LN
Suite 002
Trumbull, CT 06611-5300
Phone (203) 375-3456

Other identifiers 1

IdentifierTypeStateIssuer
001387027MedicaidCT

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000185 CT Practitioner - Urology 3779608492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Albert Einstein College of Medicine of Yeshiva University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 301-6261

52 Beach Rd
Fairfield, CT 06824-6017

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Engineering

State licenses

LicenseStateTypeSpecialty
38702CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Sep 29, 2020 Accepting new patients

Locations

52 Beach Rd
Ste 205
Fairfield, CT 06824
Phone (203) 255-6824

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

160 Hawley Ln
Ste 2
Trumbull, CT 06611
Phone (203) 375-3456

Interoperability endpoints

  • Direct secure messaging: eparaiso7106@direct.ynhh.org

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1740212141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN",
            "address_2": "SUITE 002",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-375-3456",
            "fax_number": "203-375-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN",
            "address_2": "SUITE 002",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-375-3456",
            "fax_number": "203-375-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAISO",
        "first_name": "EDWARD",
        "middle_name": "B",
        "credential": "ME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "38702",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "38702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001387027",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.