Individual provider Active NPI

Elie M. Ferneini, DMD, MD, MHS, MBA

  • Oral and Maxillofacial Surgery (Dentist)
  • Cheshire, CT
National Provider Identifier
1992997050
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9167 Issued in CT
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

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.