Individual provider Active NPI

Tess Galban Foxen

  • Physician Assistant
  • Fairfield, CT
National Provider Identifier
1770107708
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5775 Issued in CT
Practice address
140 Sherman St FL 2
Fairfield, CT 06824-5849
Phone
(800) 633-8446
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 5775 CT Primary

Addresses

Primary practice location

140 Sherman St FL 2
Fairfield, CT 06824-5849

Mailing address

140 Sherman St FL 2
Fairfield, CT 06824-5849
Phone (800) 633-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220920001373 CT Practitioner - Physician Assistant 5597140087 Reassigns benefits to 3 organizations
I20230710000387 NY Practitioner - Physician Assistant 5597140087 Reassigns benefits to 3 organizations
I20260105000839 NJ Practitioner - Physician Assistant 5597140087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

Practice addresses (Care Compare)

125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2042
Phone (516) 616-5500

140 Sherman St
FL 2
Fairfield, CT 06824-5849
Phone (516) 616-5500

Hospital & facility affiliations

  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Oct 1, 2022 Accepting new patients
Premier Bariatric New Jersey PC CurrentSince Dec 1, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

140 Sherman St
Fl 2
Fairfield, CT 06824
Phone (203) 255-3451

345 Colt Hwy
Ste C
Farmington, CT 06032

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

95 Woodland St
Hartford, CT 06105
Phone (860) 677-6143

30 Buxton Farm Rd
Stamford, CT 06905
Phone (203) 322-7070

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412

1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213

1680 State Route 23
Ste 180
Wayne, NJ 07470
Phone (484) 934-1070

1680 Route 23
Wayne, NJ 07470
Phone (973) 305-1400

3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446

1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200

646 Park Ave
New York, NY 10065
Phone (212) 249-0404

55 Medford Ave
Unit D
Patchogue, NY 11772
Phone (631) 475-3020

300 Community Dr
Plandome, NY 11030

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

715 Roanoke Ave
Ste 1
Riverhead, NY 11901
Phone (631) 963-4750

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

1441 South Ave
Ste 205
Staten Island, NY 10314

2 Crosfield Ave
Ste 208
West Nyack, NY 10994
Phone (845) 348-9400

Interoperability endpoints

  • Direct secure messaging: nybg.tessfoxen@136202.advancedmd-direct.com

Organizations & group practices 9

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 1

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1770107708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST FL 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "800-633-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST FL 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "800-633-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXEN",
        "first_name": "TESS",
        "middle_name": "GALBAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.