Active NPI
Elie M. Ferneini, DMD, MD, MHS, MBA
- Oral and Maxillofacial Surgery (Dentist)
- Cheshire, CT
National Provider Identifier
1992997050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 9167
- Practice address
- 435 Highland Ave Ste 100
Cheshire, CT 06410-2583 - Phone
- (203) 272-7700
- Fax
- (203) 651-0046
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9167 | CT | Primary |
Addresses
Primary practice location
435 Highland Ave Ste 100
Cheshire, CT 06410-2583
Mailing address
435 Highland Ave Ste 100
Cheshire, CT 06410-2583
Phone (203) 272-7700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eferneini9498@direct.med.uchc.edu |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080728000064 | CT | Practitioner - Oral Surgery | 6901979764 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Past | Accepting new patients |
Interoperability endpoints
- eferneini9498@direct.med.uchc.edu
Organizations & group practices 1
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.
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1992997050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 HIGHLAND AVE STE 100",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102583",
"telephone_number": "203-272-7700",
"fax_number": "203-651-0046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 HIGHLAND AVE STE 100",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102583",
"telephone_number": "203-272-7700",
"fax_number": "203-651-0046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNEINI",
"first_name": "ELIE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DMD, MD, MHS, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CT",
"license": "9167",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eferneini9498@direct.med.uchc.edu",
"affiliation": "N",
"address_1": "263 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060321956",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.