DR. JEFFREY SMALL
NPI 1740519883
Specialist in Bridgeport, CT

Active since December 21, 2009CLIA 07D0926489 · Microscopy
4695 MAIN ST, BRIDGEPORT, CT 06606(203) 372-4419(203) 372-4919 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Small NPPES

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

DR. JEFFREY SMALL (NPI 1740519883) is a healthcare organization registered as a specialist in Bridgeport, Connecticut and active in the NPI registry since December 2009. The organization holds a CLIA Microscopy certificate valid through June 5, 2028 and lists Jeffrey Daniel Small, Md, as its authorized official.

NPPES Registry Identity

NPI1740519883
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDR. JEFFREY SMALL
Location Address4695 MAIN STBridgeport, CT 06606-1802
Mailing Address4695 Main StBridgeport, CT 06606-1802 · (203) 372-4419 · Fax (203) 372-4919
Fax(203) 372-4919
Organization SubpartNo
Authorized OfficialJeffrey Daniel SmallMd · (203) 372-4419
Enumeration DateDecember 21, 2009
Last NPPES UpdateJanuary 14, 2010
NPI 1740519883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CT · BS3578397
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4695 MAIN ST, Bridgeport, CT 06606

Other Identifiers 7

Other125947CT · Wellcare
Other4337423Aetna
Other003985Healthnet
Other01030495CT03Anthem Blue Cross & Blue Shield
Medicare UPINF01192
Medicaid001304956CT
OtherZS278Oxford

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 07D0926489

Jeffrey D Small MD · Bridgeport, CT
Active · expires Jun 5, 2028
CLIA Number07D0926489
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorJeffrey D. Small MD
Laboratory Phone(203) 372-4419
Laboratory LocationJeffrey D Small MD4695 Main St, Bridgeport, CT 06606
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

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

Podiatrist
4695 MAIN ST, SUITE 15
BRIDGEPORT, CT 06606
Optometrist
4695 MAIN ST
BRIDGEPORT, CT 06606
Otolaryngology
4695 MAIN ST, SUITE 1
BRIDGEPORT, CT 06606
Dentist (General Practice)
4695 MAIN ST
BRIDGEPORT, CT 06606
Clinic/Center (Ambulatory Surgical)
4695 MAIN ST
BRIDGEPORT, CT 06606
Internal Medicine (Cardiovascular Disease)
4695 MAIN ST, SUITE 19
BRIDGEPORT, CT 06606
Urology
4695 MAIN ST
BRIDGEPORT, CT 06606
Optometrist
4695 MAIN ST
BRIDGEPORT, CT 06606

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 Dr. Jeffrey Small's NPI number?

The NPI number for Dr. Jeffrey Small is 1740519883. It was assigned to this organization in the NPPES registry on December 21, 2009.

Where is Dr. Jeffrey Small located?

Dr. Jeffrey Small is located at 4695 Main St, Bridgeport, CT 06606. The listed phone number is (203) 372-4419.

What is Dr. Jeffrey Small's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Dr. Jeffrey Small hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0926489) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr. Jeffrey Small was last updated on January 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.