Surgical Associates of Litchfield County, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL ASSOCIATES OF LITCHFIELD COUNTY, LLC

Practice address

538 Litchfield St
Suite 201
Torrington, CT 06790-6669

Phone

(860) 489-7017

Fax

(860) 489-8943

NPI assigned

Jan 13, 2006

Organization subpart

No

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

Authorized official

Name

Mark Prete, MDNPI 1285683953

Title

Single Member

Phone

(860) 496-6434

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark R. Prete, MD

  • Emergency Medicine Physician
  • Torrington, CT
  • NPI 1285683953
  NPD (past) Authorized official

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811976103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST",
            "address_2": "SUITE 201",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-489-7017",
            "fax_number": "860-489-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST",
            "address_2": "SUITE 201",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-489-7017",
            "fax_number": "860-489-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF LITCHFIELD COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRETE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "860-496-6434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3487189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Torrington, CT
• Providers in Torrington, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.