Organization Active NPI

Surgical Associates of Milford PC

  • Surgery Physician
  • Milford, CT
National Provider Identifier
1962433904
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL ASSOCIATES OF MILFORD PC
Practice address
831 Boston Post Rd
Suite 202
Milford, CT 06460-3536
Phone
(203) 878-6377
Fax
(203) 876-0652
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Laura T. Smith
Title
Corporate Secretary
Phone
(203) 876-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

831 Boston Post Rd
Suite 202
Milford, CT 06460-3536

Mailing address

831 Boston Post Rd
Suite 202
Milford, CT 06460-3536
Phone (203) 878-6377

Other identifiers 1

IdentifierTypeStateIssuer
004000618MedicaidCT

National Provider Directory

National Provider Directory

Locations

831 Boston Post Rd
#2
Milford, CT 06460
Phone (203) 878-6377

831 Boston Post Rd
Ste 202
Milford, CT 06460
Phone (203) 878-6377

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1962433904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 BOSTON POST RD",
            "address_2": "SUITE 202",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603536",
            "telephone_number": "203-878-6377",
            "fax_number": "203-876-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 BOSTON POST RD",
            "address_2": "SUITE 202",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603536",
            "telephone_number": "203-878-6377",
            "fax_number": "203-876-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF MILFORD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "203-876-4231"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004000618",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.