DR. MARK AFERZON


Address: 2 Ivy Brook Rd, Suite 110, Shelton, CT 06484-6416
Phone: 2039540019

DR. MARK AFERZON (NPI# 1114956380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114956380
Entity Type Individual
Full Name DR. MARK AFERZON
Credential MD
Practice Address 2 Ivy Brook Rd
Suite 110
Shelton
CT 06484-6416
Mailing Address 225 Ansonia Road
Woodbridge
CT 06525
Practice Telephone 2039540019
Practice Fax Number 2039540018
Mailing Telephone 2032989295
Mailing Fax Number 2039540018
Enumeration Date 2006-07-01
Last Update Date 2019-10-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 040095 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001400952 05

Office Location

Street Address 2 IVY BROOK RD
SUITE 110
City SHELTON
State CT
Zip Code 06484-6416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053303818 John F Reilly Surgery 2 Ivy Brook Rd, Suite 105, Shelton, CT 06484-6416 2005-08-18
1437764826 Hunter Prindle-nelson Specialist/Technologist 2 Ivy Brook Rd, Shelton, CT 06484-6416 2020-09-11
1467082966 Neurosurgery, Orthopaedics & Spine Specialists, PC Orthopaedic Surgery 2 Ivy Brook Rd, Shelton, CT 06484-6416 2020-01-23
1114318656 Emily Medina, Lcsw, LLC Social Worker 2 Ivy Brook Rd, Shelton, CT 06484-6416 2015-02-05
1982913455 Diana Reichbind Physician Assistant 2 Ivy Brook Rd, Suite 213, Shelton, CT 06484-6416 2010-10-01
1184816761 Ladan Hamdheydari Psychiatry & Neurology 2 Ivy Brook Rd, Ste120, Shelton, CT 06484-6416 2007-08-16
1013122977 Brian Lee Sperling Urology 2 Ivy Brook Rd, Ste 115, Shelton, CT 06484-6416 2007-05-14
1538249842 Plastic and Reconstructive Surgery Specialists LLC Surgery 2 Ivy Brook Rd, Suite 105, Shelton, CT 06484-6416 2006-10-17
1760413538 Nami Bayan Internal Medicine 2 Ivy Brook Rd, Ste 120, Shelton, CT 06484-6416 2006-07-06
1043283302 Stephen R Woodworth Internal Medicine 2 Ivy Brook Rd, Suite 205, Shelton, CT 06484-6416 2006-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255949517 Judy Ports Speech-Language Pathologist 100 Bear Sawmill Rd, Shelton, CT 06484 2020-07-22
1144793340 Theodore N. Zengou Pharmacist 875 Bridgeport Av., Shelton, CT 06484 2019-01-10
1194215046 Brightview Shelton LLC Alzheimer Center (Dementia Center) 30 Beard Sawmill Road, Shelton, CT 06484 2018-05-16
1477071264 Emily Buccigross Specialist/Technologist 941 Constitution Blvd N, Shelton, CT 06484 2017-09-01
1134649643 Margaret Grace Ferrara Dentist 4 Corporate Dr Ste 383, Shelton, CT 06484 2017-06-26
1376092007 Qmg3 LLC Family Medicine 405 Bridgeport Avenue, Shelton, CT 06484 2016-09-22
1215316427 Marcella N. Sancho, Lcsw, LLC Social Worker 4 Research Drive, Suite 402, Shelton, CT 06484 2015-05-20
1578987483 Lisa Sych Speech-Language Pathologist 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 2014-02-12
1073936324 Jeanne M. Kellogg Occupational Therapy Assistant 36 Fairlane Dr., Shelton, CT 06484 2014-01-22
1851724454 Brittany Steiner Behavioral Analyst 26 Pound Ridge Ave, Shelton, CT 06484 2013-08-19
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477049138 Joseph Lawrence Earles Otolaryngology Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 2018-07-06
1265936512 Nofrat Schwartz Otolaryngology 47 College St Ste 216, New Haven, CT 06510-3209 2018-03-21
1376961946 Jared R Langerman Otolaryngology 31 Broadway Fl 2, North Haven, CT 06473 2014-04-01
1841624038 David Lawrence Harsany Otolaryngology 10 Elskip Ln, Greenwich, CT 06831-3620 2013-08-25
1942543111 Jeffrey Paul Cranford Otolaryngology 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 2013-04-05
1366700494 Paul Daniel Neubauer Otolaryngology 32 Strawberry Hill Ct Ste 4, Stamford, CT 06902-2594 2012-04-26
1174815096 Hailun Wang Otolaryngology 21 South Rd Ste 112, Farmington, CT 06032-2482 2011-05-11
1265721013 Alan Jay Gill Otolaryngology 2031 Redding Rd, Fairfield, CT 06824-1708 2011-04-01
1417259417 James Michael Dowaliby II Otolaryngology 200 College St, Apt. 331, New Haven, CT 06510-2444 2010-11-23
1427376334 Anthony J. Vallone, Md, PC Otolaryngology 4718 Main St, Bridgeport, CT 06606-1823 2010-05-17
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City SHELTON
Zip Code 06484

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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