Active NPI
New Haven Neurosurgical Assoc. P.C
- Neurological Surgery Physician
- Guilford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- NEW HAVEN NEUROSURGICAL ASSOC. P.C
- Practice address
- 1570 Boston Post Rd
Guilford, CT 06437-2567 - Phone
- (203) 772-4001
- Fax
- (203) 772-4711
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phillip S Dickey, M.D.
- Title
- Physician
- Phone
- (203) 772-4001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
1570 Boston Post Rd
Guilford, CT 06437-2567
Mailing address
1570 Boston Post Rd Ste 300
Guilford, CT 06437-2568
Phone (203) 772-4001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004180717 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1570 Boston Post Rd
Guilford, CT 06437
Phone (203) 772-4001
1570 Boston Post Rd
Ste 300
Guilford, CT 06437
Phone (203) 772-4001
60 Temple St
Ste 4C
New Haven, CT 06510
Phone (203) 772-4001
Interoperability endpoints
- https://api.platform.athenahealth.com/12610/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Guilford, CT
- NPI 1194748434
-
- Neurological Surgery Physician
- Shelton, CT
- NPI 1417962093
-
- Neurological Surgery Physician
- Alcoa, TN
- NPI 1427079789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669680000000",
"number": "1841320108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 BOSTON POST RD STE 300",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372568",
"telephone_number": "203-772-4001",
"fax_number": "203-772-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 BOSTON POST RD",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372567",
"telephone_number": "203-772-4001",
"fax_number": "203-772-4711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HAVEN NEUROSURGICAL ASSOC. P.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A",
"authorized_official_last_name": "DICKEY",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "203-772-4001",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004180717",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.