DR. PAUL DEAN DEMARTINI M.D. NPI 1063451201

NPI Information

NPI: 1063451201
Provider Name: DR. PAUL DEAN DEMARTINI, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
501 KINGS HWY E
SUITE 112
FAIRFIELD, CT
ZIP 06825
Phone: (203) 382-1900
Get Directions

DR. Paul Dean Demartini, M.D. is a vascular surgery surgery in Fairfield, CT. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Paul Dean Demartini, M.D. NPI is 1063451201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 KINGS HWY E
SUITE 112
FAIRFIELD, CT
ZIP 06825-867
Phone: (203) 382-1900
Fax: (203) 382-0019

The NPI 1063451201 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 6/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	024378	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001243781	MEDICAID	CONNECTICUT
2	ZS218	OTHER	CONNECTICUT	OXFORD
3	0V5159	OTHER	CONNECTICUT	HEALTH NET
4	010024378CT01	OTHER	CONNECTICUT	ANTHEM BLUE CROSS
5	524378	OTHER	CONNECTICUT	CONNECTICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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