Active NPI
Maria-Claire Pietak, PA
- Physician Assistant
- Stamford, CT
National Provider Identifier
1790028991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002889
- Practice address
- 32 Strawberry Hill CT
Stamford, CT 06902-2594 - Phone
- (203) 276-2000
- NPI assigned
- Apr 5, 2013
- Last updated
- Apr 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002889 | CT | Primary |
Addresses
Primary practice location
32 Strawberry Hill CT
Stamford, CT 06902-2594
Mailing address
32 Strawberry Hill CT
Stamford, CT 06902-2594
Phone (203) 276-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2889 | CT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1790028991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 STRAWBERRY HILL CT",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022594",
"telephone_number": "203-276-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 STRAWBERRY HILL CT",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022594",
"telephone_number": "203-276-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETAK",
"first_name": "MARIA-CLAIRE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-05",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "002889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.