DERMOT M MCDERMOTT PA-C NPI 1457352437

NPI Information

NPI: 1457352437
Provider Name: DERMOT M MCDERMOTT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: NORTHEAST MEDICAL GROUP INC

PECOS Registration: Yes

Address:
874 HOWARD AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 688-8200
Get Directions

Dermot M Mcdermott, PA-C is a medical physician assistant in New Haven, CT with 24 years of experience. Dermot M Mcdermott, PA-C NPI is 1457352437. 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:

874 HOWARD AVE
NEW HAVEN, CT
ZIP 06519-106
Phone: (203) 688-8200
Fax: (203) 688-8204

The NPI 1457352437 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 8/2/2005 and was last updated on 1/9/2009.

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	363AM0700X	Physician Assistant	Medical	000997	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	061561581	OTHER	CONNECTICUT	UNITED HEALTHCARE
2	369530	OTHER	CONNECTICUT	WELLCARE OF CT
3	970019423	OTHER	CONNECTICUT	RAIL ROAD MEDICARE
4	0Q2937	OTHER	CONNECTICUT	HELATH NET
5	290000997CT01	OTHER	CONNECTICUT	ANTHEM BC/BS
6	000997	OTHER	CONNECTICUT	CONNECTICARE
7	P2531898	OTHER	CONNECTICUT	OXFORD
8	P30298	MEDICARE UPIN
9	970000773	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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