OrganizationActive
Pomperaug Plastic Surgery, LLC
NPI 1306925375 · Specialist · Southbury, CT
Pomperaug Plastic Surgery, LLC is a Specialist organization in Southbury, CT (NPI 1306925375).
Provider details
- NPI number
- 1306925375
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Seung-Yeun Waitze, Owner(203) 262-6200
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22 Poverty Road
Southbury, CT 06488
Phone: (203) 262-6200
Fax: (203) 262-6205
Street-level locationGet directions
Mailing address
Po Box 82
Southbury, CT 06488-0082
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pomperaug Plastic Surgery, LLC's NPI number?
- Pomperaug Plastic Surgery, LLC's National Provider Identifier (NPI) is 1306925375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pomperaug Plastic Surgery, LLC?
- Pomperaug Plastic Surgery, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Pomperaug Plastic Surgery, LLC located?
- Pomperaug Plastic Surgery, LLC's practice location on file with NPPES is 22 Poverty Road, Southbury, CT 06488.
- What is Pomperaug Plastic Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pomperaug Plastic Surgery, LLC is (203) 262-6200.
- Who is the authorized official for Pomperaug Plastic Surgery, LLC?
- The authorized official listed on Pomperaug Plastic Surgery, LLC's NPPES record is Seung-Yeun Waitze, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pomperaug Plastic Surgery, LLC's NPI active?
- Yes — Pomperaug Plastic Surgery, LLC's NPI (1306925375) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.