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ID SPECIALISTS OF FAIRFIELD, PLLC
NPI 1154816023
Internal Medicine - Infectious Disease in Fairfield, CT

Active since June 24, 2018CLIA 07D2158259 · Waiver
1300 POST RD STE 208, FAIRFIELD, CT 06824(203) 893-0335 Get Directions Write a Review

NPPES record last updated: June 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Id Specialists Of Fairfield, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ID SPECIALISTS OF FAIRFIELD, PLLC (NPI 1154816023) is a healthcare organization registered as an infectious disease in Fairfield, Connecticut and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Jo-anne Passalacqua, Physician, as its authorized official.

NPPES Registry Identity

NPI1154816023
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameID SPECIALISTS OF FAIRFIELD, PLLC
Location Address1300 POST RD STE 208Fairfield, CT 06824-6038
Mailing Address115 Lords HwyWeston, CT 06883-1715 · (203) 893-0335
Phone(203) 893-0335
Organization SubpartNo
Authorized OfficialJo-anne PassalacquaPhysician · (203) 893-0335
Enumeration DateJune 24, 2018
✔ NPI 1154816023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CT · CT035850
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1300 POST RD STE 208, Fairfield, CT 06824
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2158259

Id Specialists Of Fairfield · Fairfield, CT
Active · expires Nov 25, 2026
CLIA Number07D2158259
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorJoanne Passalacqua
Laboratory Phone(203) 384-0451
Laboratory LocationId Specialists Of Fairfield1300 Post Rd, Suite 208, Fairfield, CT 06824
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY BETH BUCKWALD SLP
Speech-Language Pathologist
1300 POST RD STE 208
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 260-8271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Id Specialists Of Fairfield, PLLC's NPI number?

The NPI number for Id Specialists Of Fairfield, PLLC is 1154816023. It was assigned to this organization in the NPPES registry on June 24, 2018.

Where is Id Specialists Of Fairfield, PLLC located?

Id Specialists Of Fairfield, PLLC is located at 1300 Post Rd Ste 208, Fairfield, CT 06824. The listed phone number is (203) 893-0335.

What is Id Specialists Of Fairfield, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Does Id Specialists Of Fairfield, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2158259) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Id Specialists Of Fairfield, PLLC was last updated on June 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.