NPIMap

Organization Active NPI

Advanced Diagnostic Pain Treatment Centers PC

  • Specialist
  • New Haven, CT
National Provider Identifier
1881724912
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADVANCED DIAGNOSTIC PAIN TREATMENT CENTERS PC
Practice address
1 Long Wharf Dr Ste 212
Advanced Diagnostic Pain Treatment Center
New Haven, CT 06511-5593
Phone
(203) 624-4208
Fax
(203) 624-4301
NPI assigned
Mar 7, 2007
Last updated
Jan 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Lloyd R Saberski, M.DNPI 1821000613
Title
Physician
Phone
(203) 624-4208

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)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1 Long Wharf Dr Ste 212
Advanced Diagnostic Pain Treatment Center
New Haven, CT 06511-5593

Mailing address

1 Long Wharf Dr Ste 212
Advanced Diagnostic Pain Treatment Center
New Haven, CT 06511-5593
Phone (203) 624-4208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914000833 CT Part B Supplier - Clinic/Group Practice 2365419868 Receives reassigned benefits from 9 practitioners
Practice locations: New Haven, CT; Norwich, CT; Old Saybrook, CT; Portland, CT; Middletown, CT

National Provider Directory

National Provider Directory

Locations

410 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (203) 624-4208

190 W Town St
Ste 1
Norwich, CT 06360
Phone (203) 624-4208

929 Boston Post Rd
Ste 9
Old Saybrook, CT 06475
Phone (203) 624-4208

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1881724912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DR STE 212",
            "address_2": "ADVANCED DIAGNOSTIC PAIN TREATMENT CENTER",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115593",
            "telephone_number": "203-624-4208",
            "fax_number": "203-624-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DR STE 212",
            "address_2": "ADVANCED DIAGNOSTIC PAIN TREATMENT CENTER",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115593",
            "telephone_number": "203-624-4208",
            "fax_number": "203-624-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC PAIN TREATMENT CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "SABERSKI",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-624-4208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.

Verify at the official NPI Registry.