Individual provider Active NPI

Daniel Son, PA-C

  • Physician Assistant
  • Milford, CT
National Provider Identifier
1801658604
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6564 Issued in CT
Practice address
233 Broad St Ste 1
Milford, CT 06460-3549
Phone
(203) 810-4151
NPI assigned
Jan 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 6564 CT Primary

Addresses

Primary practice location

233 Broad St Ste 1
Milford, CT 06460-3549

Mailing address

233 Broad St Ste 1
Milford, CT 06460-3549
Phone (203) 810-4151

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
I20240919002765 CT Practitioner - Physician Assistant 8426599291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farmington Valley Dermatology and Surgery LLCGroup PAC ID 8123240132, 9 clinicians

Practice addresses (Care Compare)

30 W Avon Rd
Suite E
Avon, CT 06001-3678
Phone (860) 674-9900

30 W Avon Rd E
Avon, CT 06001-3678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6564CTMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: dson@ons.emadirect.md

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1801658604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 BROAD ST STE 1",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603549",
            "telephone_number": "203-810-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BROAD ST STE 1",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603549",
            "telephone_number": "203-810-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "6564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.