Individual provider Active NPI

Scott Soloway

  • Ophthalmology Physician
  • North Branford, CT
National Provider Identifier
1831282607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17667 Issued in CT
Practice address
435 Foxon Rd
North Branford, CT 06471-1140
Phone
(203) 484-9333
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 17667 CT Primary

Addresses

Primary practice location

435 Foxon Rd
North Branford, CT 06471-1140

Mailing address

434 Foxon Rd
North Branford, CT 06471
Phone (203) 484-9333

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
I20050525001169 CT Practitioner - Ophthalmology 2961444377 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17667CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Apr 20, 2015 Accepting new patients
Yale University CurrentSince Apr 20, 2015 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology PastSince Jul 1, 2015 Accepting new patients

Locations

40 Temple St
New Haven, CT 06510
Phone (203) 785-2020

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

Interoperability endpoints

  • Direct secure messaging: ssoloway4660@direct.ynhh.org

Organizations & group practices 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831282607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 FOXON RD",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "06471",
            "telephone_number": "203-484-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FOXON RD",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711140",
            "telephone_number": "203-484-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOWAY",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "17667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branford, CT

Sources for this page

Verify at the official NPI Registry.